This algorithm demonstrates management guidelines for the patient with stable angina pectoris and at low risk at the time of their initial evaluation.
Our patient's medical management of uncomplicated angina begins with aspirin, beta blockers and sublingual nitrates for symptom relief. Long acting nitrates and calcium channel blockers are additional pharmacologic options. Long term prognosis is clinically dependent on aggressive respect to management.
If the patient has little or no symptoms and stress testing indicates a favorable prognosis, medical therapy including risk factor modification may be continued. If symptoms persist or the patient's risk increases, cardiac catheterization should be carried out to determine the patient's suitability for revascularization.