Abstract: . . .  are uncontrolled on optimal medical therapy b) There is uncertainty about the diagnosis of angina among people in whom the clinical diagnosis of CHD is uncertain and who have a high proportion of false positive results c) Someone is physically incapable of undertaking the test (alternative tests are available e.g., thallium scanning). Women 9.21 Most tests (e.g., exercise ECG) for estimating the severity of myocardial ischaemia are less accurate in women than they are in men. The reasons for this are not well understood but mean that special consideration should be given to women who present with symptoms suggestive of angina . Diabetes 9.22 Diabetes increases someone's risk of developing and dying from heart disease two to five fold. People with angina who also have diabetes will benefit from particularly meticulous attention to their modifiable risk factors. Minority Ethnic Groups 9.23 People's risk of developing CHD also varies with their ethnicity. For example, CHD death rates are about 25 to 50% lower among people of Afro-Caribbean descent than among UK whites. By contrast, some people of South Asian descent have a CHD risk that is about 40% greater than among whites in the UK. Differences in people's exposure to recognised risk factors may account for much of these differences. 9.24 Primary care teams and hospitals . . .
. . .  st April 2001, must have the minimum data set recorded in their notes, set out in Table 3. 9.28 The practice must have a written policy for its management of patients with angina . 9.29 The standards used 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 st march 2002, the following standards: 1 a) Statin therapy should aim to lower total cholesterol below 5 mmol/l or to reduce total serum cholesterol by 20-25%, whichever would result in the lowest . . .
--3000,2,750,3165,15950