Coronary heart disease (CHD) is an enormous health problem in the developed world. It is the commonest cause of death worldwide, and GPs and nurse practitioners have a vital role to play in diagnosis, management and risk reduction. In the popular Q and A format of the Your Questions Answered series, this book provides succinct, expert information on CHD. Although aimed mainly at the primary care practitioner, it also addresses many questions asked about CHD by other physicians, practice and community nurses, medical students and trainees, and indeed patients. With an emphasis on evidence-based, up-to-date knowledge, the authors discus all aspects of this serious condition, including relative risk factors; the role of lifestyle in both prevention strategies and management; and the use of drug therapies, including ACE inhibitors and statins. Some frequently asked patient questions, in non-medical language, are included, and there is a list of sources of further information and patient support.
What is CHD?. Stable angina. Acute coronary syndromes. Clinical assessment in patients with CHD. Risk factors for CHD (cholesterol, hypertension, diabetes mellitus, life style factors, renal failure, primary prevention). Drug treatment for angina (beta blockers, calcium channel blockers, nitrates, potassium channel openers). Coronary revascularisation for angina (percutaneous coronary intervention, coronary artery bypass graft surgery, PCI and CABG). Treatment for unstable angina and non-ST segment elevation myocardial infarction. Treatment of ST segment elevation myocardial infarction. Secondary prevention in patients with CHD (anti-thrombotics, statins, beta blockers, ACE inhibitors, miscellaneous). Useful addresses and websites. References and further reading. List of patient questions. Index.
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