Abstract: . . .  Health Care. Management of Stable Angina . October 1997 Vol 3. No5. Department of Health - National Service Framework - Coronary Heart Disease, chapter 4- Stable Angina . 1 National Institute for Clinical Excellence. INHERITED Clinical Guideline : Summary table. Prophylaxis for patients who have experienced a myocardial infarction drug treatment, cardiac rehabilitation and dietary manipulation. April 2001 3 The IONA Study Group. Effect of nicorandil on coronary events in patients with stable angina : the Impart of Nicorandil in Angina (IONA) randomised trial. The Lancet. Vol.359. April 13, 2002.  . . .
. . .  should be recorded in the patient's notes. 9.12 All of the patients on the register should have the minimum data set described recorded in their notes. 9.13 The practice should have a written policy on the management of angina , investigation protocols and referral details, including urgent referral criteria. 9.14 The practice should have a written practice formulary and prescribing policy for the treatment of angina , detailing the stepwise approach to aspirin, sublingual nitrates, betablockers, calcium antagonists, potassium channel opener and oral nitrates. Beta Blockers are first line treatment and should be used on all patients where there are no contraindications. Medical Therapy 9.15 Beta-blockers, nitrates, calcium antagonists and potassium channel openers given alone or in combination can relieve the symptoms of angina . Beta- blockers may be better tolerated and be associated with fewer adverse events . . .
. . .  for post MI management for the following elements will also apply to patients with angina : blood pressure, cholesterol lowering, use of aspirin or anticoagulant, smoking. a) All patients should have had their haemoglobin checked as part of their initial investigations. b) All patients should have had their plasma glucose measured to exclude diabetes as part of the initial investigations. c) All patients with stable angina should have had an exercise test, (or thallium scan). d) All patients with stable angina who require treatment, such as calcium antagonists, potassium channel blockers, nitrates, should be treated with a beta blocker unless contra indicated. e) All newly diagnosed patients with possible angina , under the age of ???, should be referred to a specialist clinic, according to locally agreed protocols. 9.30 From April 1 st 2001, to be monitored 31 . . .
--3000,3,500,2920,15950