Medical Treatment of Coronary Artery Disease

  • Ming K. Heng


Current medical treatment of coronary artery disease (GAD) consists of interventions to increase coronary artery flow, reduce myocardial oxygen demand, prevent coronary artery thrombosis, and lyse existing coronary artery thrombi. The strategies used depend on the patient’s ischemic syndromes. Patients with CAD may present to the physician with stable angina, unstable angina, myocardial infarction, or silent ischemia. To a physician seeing a CAD patient for the first time, the disease may manifest itself in any one of the mentioned syndromes. Over a period of time, most patients will experience a change from one syndrome to another. Although the physician cannot eliminate CAD in a patient, the goal of therapy is to keep the patient in a stable state consistent with the best quality of life and the lowest risk from either myocardial infarction or death. Patients are at lowest risk when they are free from ischemia, whether symptomatic or silent, or are in a state of stable angina with symptoms that are infrequent and brought on only by moderate to severe exertion.


Acute Myocardial Infarction Calcium Channel Blocker Unstable Angina Thrombolytic Therapy Beta Carotene 
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© Springer Science+Business Media New York 2000

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  • Ming K. Heng

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