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

Video Transcription

Video Summary

The module reviews stable ischemic heart disease, emphasizing how to distinguish stable angina from unstable coronary syndromes. Angina is chest discomfort from myocardial ischemia, including equivalents like dyspnea, nausea, and fatigue. Evaluation centers on careful history, exam, and pre-test probability to guide testing. Low-risk patients need reassurance and risk-factor control; intermediate-risk patients should get noninvasive testing; high-risk patients may need angiography. Stable angina is usually managed with optimal medical therapy, lifestyle change, statins, antiplatelets, beta blockers, calcium channel blockers, nitrates, and sometimes ranolazine. COURAGE and ISCHEMIA support medical management unless high-risk features or refractory symptoms are present.

Keywords

stable ischemic heart disease

stable angina

myocardial ischemia

noninvasive testing

optimal medical therapy