Stable ischemic heart disease (risk factors, diagnostic, treatment)
Big picture
Stable ischemic heart disease is now often discussed under chronic coronary syndrome (CCS) or chronic coronary disease (CCD). It means coronary artery disease during a relatively stable phase, usually caused by fixed atherosclerotic narrowing, with symptoms appearing when myocardial oxygen demand exceeds supply. Modern guidelines emphasize a stepwise approach: first rule out acute coronary syndrome, then estimate likelihood of obstructive coronary artery disease, confirm ischemia/anatomy with appropriate testing, and treat with lifestyle, risk-factor control, disease-modifying drugs, antianginal therapy, and revascularization when needed. ([American College of Cardiology][1])
Classic exam pattern: Middle-aged/elderly patient + cardiovascular risk factors + retrosternal pressure during exertion + relief with rest or nitroglycerin → stable angina due to obstructive coronary artery disease.
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