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Departments > Medicine > Divisions > Clinical > Risk anginaun

Unstable Angina

Unstable Angina: Diagnosis and Management : Clinical Practice Guideline Number 10 : AHCPR Publication No. 94-0602: May 1994 (amended)

CAD is the most important cause of death and disability in the United States. Only about 10 percent of patients with CAD have unstable angina as their initial presentation if patients who experience an MI are retrospectively excluded. However, patients with established CAD (either chronic stable angina or prior MI) commonly cycle through unstable phases. As a clinical syndrome, unstable angina shares ill-defined borders with chronic stable angina, a presentation with lower risk, and with acute MI, a presentation with higher risk. Unstable angina occurs in a variety of clinical scenarios, including in patients without known CAD, with prior stable CAD, soon after MI, and following myocardial revascularization by CABG or PTCA. Patients presenting with unstable angina may undergo any of the diagnostic and therapeutic procedures used for other CAD patients. Therefore, recommendations for the management of patients with unstable angina of necessity address questions pertinent to patients with any mode of presentation of CAD.

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