Chronic stable angina treatment involves lifestyle and risk factor modifications in addition to medical therapy. Nitrates are considered first-line treatment for patients with stable angina. However, their use is contraindicated in patients with chronic stable angina who have taken phosphodiesterase inhibitors within the past 48 hours and in patients with hypotension.
Beta-blockers and calcium channel blockers are also recognized as first-line treatment options for patients with chronic stable angina. They are recommended in patients with previous MI and in those with reduced left ventricle ejection fraction less than 40%. Avoid combining beta-blockers and nondihydropyridine calcium channel blockers. Second-line treatments include ranolazine, ivabradine, and nicorandil. Allopurinol has been used as a second- or third-line agent for symptom control.
Medscape © 2021 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Yasmine S. Ali. Fast Five Quiz: Angina - Medscape - Aug 27, 2021.