Stable angina is common. In England about 8% of men and 3% of women aged 55-64 years and about 14% of men and 8% of women aged 65-74 years have or have had angina. Stable angina is associated with a low but appreciable risk of acute coronary events and increased mortality. However, evidence exists of inconsistencies in management. This article summarises the most recent recommendations from the...

Background: Myocardial ischemia with its clinical symptom angina pectoris is associated with increased morbidity and mortality. Obstructive coronary artery disease (CAD) is not the only cause for cardiac ischemia and the prevalence of obstructive CAD in patients with stable angina pectoris is still discussed. Therefore, we investigated the prevalence of CAD in patients with stable angina pector...

The mechanisms by which tissue injury after acute myocardial infarction (AMI) occurs has not been fully elucidated. Recent evidence in experimental models has suggested involvement of the complement system in microvascular and macrovascular injury subsequent to AMI. With respect to angina pectoris, whether or not the complement system is activated is not clear. The present study assessed the ro...

background: enhanced external counterpulsation (eecp) is a noninvasive technique used for patients with refractory angina pectoris. there are controversial data on the effectiveness of eecp in improving patients with refractory stable angina. the aim of the present study was to evaluate the effectiveness and safety of eecp for the treatment of patients with refractory angina pectoris. methods: ...

Cystatin C, cathepsin S, and IL-1 are three important biomarkers of atherosclerosis. Previous studies emphasized the relationship between individual biomarkers in coronary artery disease (CAD) patients and severity of atherosclerostic lesions of the coronary arteries, while combined cystatin C, cathepsin S, and IL-1 have not been reported for clinical classification of CAD. We aimed to establis...

C-reactive protein (CRP) response was studied in 44 patients with acute angina pectoris admitted to the coronary care unit. 71 % of patients with acute myocardial infarction (MI)had positive CRP test while 73% of patients presumed to have unstable angina pectoris had negative CRP test. This test can be helpful in differentiating between acute MI and unstable angina pectoris.

BACKGROUND Computed tomographic coronary angiography (CTA) is a non-invasive alternative to conventional coronary angiography (CCA) in detecting chronic coronary artery disease (CAD). However, the value of CTA in estimating acute myocardial infarction (AMI) has not been evaluated. METHODS CTA and CCA were performed on 10 patients with non-ST-elevated AMI and 17 patients with stable angina pec...

Case study: A 62-year-old male smoker with type 2 diabetes mellitus and hypertension presents with a 4-month history of exertional chest pain. Physical examination shows a blood pressure of 152/90 mm Hg but is otherwise unremarkable. The ECG is normal, and laboratory tests show a fasting blood glucose value of 110 mg/dL, glycosylated hemoglobin 6.0%, creatinine 1.1 mg/dL, total cholesterol 160,...