Ver el código de «Stable angina»

==Background==
*[[Chest pain]] due to [[myocardial ischemia|cardiac ischemia]]
*Distinguish from [[unstable angina]], which is defined as angina occurring at rest, for first time, or with increasing frequency/severity

==Clinical Features==
===Classes (Canadian Cardiovascular Society Classification)<ref>Campeau, L. Grading of angina pectoris. Circulation 1976; 54:5223</ref>===
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Classification'''
| align="center" style="background:#f0f0f0;"|'''Symptoms'''
| align="center" style="background:#f0f0f0;"|'''Limitation of Ordinary Activities'''
|-
| Grade I||With prolonged exertion||None
|-
| Grade II||Walking >2 blocks or climbing >1 flight of stairs||Slight
|-
| Grade III||Walking <2 blocks||Marked
|-
| Grade IV||With minimal activity or at rest||Cannot do any without symptoms
|}

{{Clinical features ACS}}

==Differential Diagnosis==
{{Chest Pain DDX}}

==Evaluation==
===Work-Up===
*[[ECG]] +/- telemetry
*[[Troponin]] if possible acute event

===Diagnosis===
Rule out [[unstable angina|unstable angina]]:
*New angina
*Angina at rest
*Accelerating frequency or severity

====History<ref>Mancini, G et al. (2014) Canadian Cardiovascular Society guidelines for the diagnosis and management of stable ischemic heart disease. Canadian Journal of Cardiology, 30(8).</ref>====
*Assess:
**Changes in angina or heart failure symptoms
**Adherence to prescribed medications
**Changes in medications
**Medication side effects

====Physical Examination<ref>Mancini, G et al. (2014) Canadian Cardiovascular Society guidelines for the diagnosis and management of stable ischemic heart disease. Canadian Journal of Cardiology, 30(8).</ref>====
*Resting heart rate and blood pressure
*Signs of heart failure
*New dysrhythmia
*New or worsening vascular bruits or murmurs
*Status of abdominal aorta

==Management<ref>Mancini, G et al. Canadian Cardiovascular Society guidelines for the diagnosis and management of stable ischemic heart disease (2014). Canadian Journal of Cardiology, 30(8).,</ref>==
*Counsel regarding appropriate use of medications, nutrition, weight optimization, smoking cessation

==Disposition==
*If angina is stable and there is no other reason for admission, may discharge home for further management by family physician or cardiologist

==See Also==
*[[Acute coronary syndrome (main)]]
*[[Unstable angina]]

==External Links==

==References==
<references/>

[[Category:Cardiology]]