Cardiovascular Essentials for Advanced Practice Providers-Stable Ischemic Heart Disease Video

Video Transcription

Video Summary

The module reviews stable ischemic heart disease, emphasizing how to distinguish stable angina from unstable syndromes. Angina is chest discomfort from myocardial ischemia, often triggered by exertion and relieved by rest; dyspnea, nausea, fatigue, and diaphoresis can be equivalents. Evaluation includes careful history, physical exam, and pre-test probability to guide testing. Low-risk patients need risk-factor control; intermediate-risk patients get noninvasive testing; high-risk patients may need angiography. Stable angina is usually managed with optimal medical therapy, lifestyle changes, statins, aspirin, beta blockers, and sometimes calcium channel blockers, nitrates, or ranolazine. Revascularization is reserved for high-risk disease or refractory symptoms.

Keywords

stable ischemic heart disease

stable angina

myocardial ischemia

noninvasive testing

optimal medical therapy