How would you follow a patient with stable angina in your clinic ?
• Patients with successfully treated chronic stable angina pectoris should have a follow-up evaluation every 4-12 months. During the first year of therapy evalu-ations every 4-6 months are recommended. After the first year of therapy, annual evaluations are recommended provided the patient is stable and reliable enough to call or make an appointment when anginal symptoms become worse or other symptoms occur.
Patients who are co-managed by their general practitioner and cardiologist may alternate these visits (Circulation 1999; 99: 282948).
• The ACC/AHA 'five questions' that must be answered regularly during the follow-up of the patient who is receiving treatment for chronic stable angina (Circulation 1999; 99: 282948):
1. Has the patient decreased the level of physical activity since the last visit?
2. Have the patient's anginal symptoms increased in frequency and become more severe since the last visit'? If the symptoms have worsened or the patient has decreased physical activity to avoid precipitating angina, then he or she should be evaluated and treated according to either the unstable angina or chronic stable angina guidelines, as appropriate.
3. How well is the patient tolerating therapy'?
4. How successful has the patient been in reducing modifiable risk factors and improving knowledge
about ischaemic heart disease'?
5. Has the patient developed any new comorbid illnesses or has the severity or treatment of known comorbid illnesses worsened the patient's angina'?
Lexo edhe:
• Patients with successfully treated chronic stable angina pectoris should have a follow-up evaluation every 4-12 months. During the first year of therapy evalu-ations every 4-6 months are recommended. After the first year of therapy, annual evaluations are recommended provided the patient is stable and reliable enough to call or make an appointment when anginal symptoms become worse or other symptoms occur.
Patients who are co-managed by their general practitioner and cardiologist may alternate these visits (Circulation 1999; 99: 282948).
• The ACC/AHA 'five questions' that must be answered regularly during the follow-up of the patient who is receiving treatment for chronic stable angina (Circulation 1999; 99: 282948):
1. Has the patient decreased the level of physical activity since the last visit?
2. Have the patient's anginal symptoms increased in frequency and become more severe since the last visit'? If the symptoms have worsened or the patient has decreased physical activity to avoid precipitating angina, then he or she should be evaluated and treated according to either the unstable angina or chronic stable angina guidelines, as appropriate.
3. How well is the patient tolerating therapy'?
4. How successful has the patient been in reducing modifiable risk factors and improving knowledge
about ischaemic heart disease'?
5. Has the patient developed any new comorbid illnesses or has the severity or treatment of known comorbid illnesses worsened the patient's angina'?
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