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Abstract: . . . 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 . . . . . . 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. . . . . . . East Kent Health Authority Clinical Effectiveness Primary Care (PRICCE) Guidelines 38 15 April 2003 STANDARDS FOR THE TREATMENT OF STABLE ANGINA PECTORIS Information on Angina 9.1 Angina pectoris is primarily a clinical diagnosis. Typical history of retrosternal chest pain, relieved by rest, exacerbated by exertion (physical or emotional), cold weather and post-prandially. 9.2 Prevalence and Incidence Crude Incidence Rate of Angina Age 31 - 70 / year/ 1000 patients Men 1.13 Women 0.53 All 0.83 Table 1 Overall Prevalence of Angina Age > 30 years 2.6% Overall . . . --3000,3,500,2576,15950
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