MODULE C: Stable Angina
Patient With Known/High Likelihood of Ischemic Heart Disease (IHD) And Angina Symptoms [A] Siedbar A
Obtain Patient History, Physical Exam, And Routine Laboratory Tests [B] Assess for non_CAD causes of symptoms
Are There Any Medications Or Conditions That Provoke Or Exacerbate The Angina And The Underlying Ischemia? [C] Treat the exacerbating condition
Sidebar B
Ensure Patient Is Taking Antiplatelet Therapy [D]
Ensure Patient Is On Anti-Angina Therapy [E]
Sidebar C
Does Patient Experience Change In Symptoms And Had A Recent (<6 Months) Revascularization? [F] Refer to Cardiology
Are There Indications For The Assessment Of Left Ventricular Function (LVF) (Abnormal ECG, prior MI, Evidence of CHF or Valvular Heart Disease)? [G] Assess LV Function [H]
Is LVEF < 0.40 (Moderate Or Severe Left Ventricular Dysfunction)? [ I ]
Are There Indications for Non-Invasive Risk Stratification Cardiac Stress Test? [L] Do test reaults indicate diagnosis of CAD with high/intermedite risk features, or indeterminate? Ensure Pharmacotherapy For CHF/LV Dysfunction [J]
Do test results indicate diagnosis of CAD with high/intermediate features, or indeterminate? (Side bar C)
Do test results or other data indicate diagnosis of IHD? Optimize IHD therapy [M]
Stop CAD therapy; Discharge; Re-evaluate fro cause of symptoms and address cardiovascular risk-factors Follow-up [N] Secondary prevention (See Moduel G) Refer to Cardiology for angiography [K]