Skip Navigation

European Heart Journal 1996 17(Supplement G):30-35; doi:10.1093/eurheartj/17.suppl_G.30
Copyright © 1996 by the European Society of Cardiology.
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Mittleman, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mittleman, M. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1996 1996 The European Society of Cardiology

Angina in patients with an active lifestyle

M. A. Mittleman

Institute for Prevention of Cardiovascular Disease, Cardiovascular Division, Deaconess Hospital Boston, U.S.A.

Correspondence: Dr Murray A. Mittleman, Institute for Prevention of Cardiovascular Disease, Cardiovascular Division, Deaconess Hospital, Boston, MA 02215, U.S.A.

The care of the active angina patient comprises risk stratification, risk factor modification, cardiac rehabilitation and pharmacotherapy. Risk stratification may be undertaken using a symptom-limited exercise test, with the possibility of myocardial perfusion imaging to improve sensitivity. Higher-risk patients may be evaluated angiographically. Risk factor modification should be tailored to the individual patient and should include weight reduction, cessation of smoking, treatment of hypertension and a controlled increase in levels of exercise for the sedentary patient. Cardiac rehabilitation is comprised of patient education, risk factor management and an individualized exercise prescription, based on a symptom-limited exercise tolerance test. Exercise training is associated with measurable physiological improvements in exercise tolerance. The risk of myocardial infarction due to sudden bouts of heavy exertion is also reduced, by approximately 50-fold, in those who exercise regularly. Pharmacological management should be based on the patient's anginal threshold. Those with a high threshold may be treated symptomatically with nitroglycerin, while β-blockers may be the most appropriate therapy for those with a lower threshold. Those with a variable threshold may respond better to calcium channel blockers. Long-acting agents are preferred, ideally providing therapeutic coverage in the morning, and throughout the day, until the next daily dose reaches therapeutic levels. (Eur Heart J 1996; 17 (Suppl G): 30–35)

Key Words: Angina • β-blockers • calcium antagonists • exercise • cardiac rehabilitation


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.