2011NICE穩(wěn)定型心絞痛管理指南
《2011NICE穩(wěn)定型心絞痛管理指南》內(nèi)容簡介：
This guidance represents the view of NICE, which was arrived at after carefulconsideration of the evidence available. Healthcare professionals areexpected to take it fully into account when exercising their clinical judgement.However, the guidance does not override the individual responsibility ofhealthcare professionals to make decisions appropriate to the circumstancesof the individual patient, in consultation with the patient and/or guardian orcarer, and ***rmed by the summary of product characteristics of any drugsthey are considering.
《2011NICE穩(wěn)定型心絞痛管理指南》內(nèi)容預(yù)覽：
Angina is pain or constricting discomfort that typically occurs in the front of thechest （but may radiate to the neck, shoulders, jaw or arms） and is brought onby physical exertion or emotional stress. Some people can have atypicalsymptoms, such as gastrointestinal discomfort, breathlessness or nausea.Angina is the main symptom of myocardial ischaemia and is usually causedby atherosclerotic obstructive coronary artery disease restricting blood flowand therefore oxygen delivery to the heart muscle. The Health Survey forEngland （2006） reported that around 8% of men and 3% of women agedbetween 55 and 64 years currently have or have had angina. The figures formen and women aged between 65 and 74 years are around 14% and 8%respectively. It is estimated that almost 2 million people in England currentlyhave or have had angina. Being diagnosed with angina can have a significantimpact on a person's quality of life, restricting daily work and leisure activities.
Stable angina is a chronic medical condition with a low but appreciableincidence of acute coronary events and increased mortality. The aim ofmanagement is to stop or minimise symptoms, and to improve quality of lifeand long-term morbidity and mortality. Management options include lifestyleadvice, drug treatment and revascularisation using percutaneous or surgicaltechniques.
Analysis of the comparative efficacy of different treatments for people withstable angina is difficult because of the advances in drug treatment andrevascularisation strategies over several decades.
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