#Cardiology_64 #Ischemic_heart_disease_6 Management Guideli | Clinical Medicine

#Cardiology_64 #Ischemic_heart_disease_6

Management Guideline for Stable Angina according to American guideline (ACC/AHA)

أي مريض اتشخص على إنه Stable Angina هيمشي على أدوية
للأعراض Symptom Relief ( Anti-Ischemia ) وأدويه وقائية Prevention من ال Prognosis
بالإضافة لل Life style modification وتزبيط الضغط والسكر ...

Drug for Event Prevention

زي ال Antiplatlet وال Lipid lowering Drug

Symptom Relief Drug ( Anti-Ischemia drug )

زي ال Short acting nitrate وزي ال BB وال CCB

هنشوف ان شاء الله ال guideline management حسب ال American خلال هلبوست
والبوستات القادمه هنشوف ال European Guideline



Drug Used for Event prevention ...

Anti- Platlet
الغرض من ال Antiplatlet هو نمنع ال platlet aggregation على ال Atherosclerosis plaque وبالتالي بنمنع ال Coronary narrowing

اي مريض Stable angina هيمشي على Aspirin
ولو كان الاسبرين Contraindicated فبيمشي بدلا منه على Clopidogrel ...

All patients should be started on aspirin and this should be continued indefinitely.

use aspirin 75-162 mg once daily indefinitely in absence of contraindications (ACCF/AHA Class I, Level A), or clopidogrel if aspirin contraindicated (ACCF/AHA Class I, Level B)

In patients with SIHD ( Stable Ischemic Heart Disease) without prior history of ACS, coronary stent implantation, or recent (within 12 months) CABG, treatment with DAPT ( Dual antiplatlet therapy ) is not beneficial.
الحالات اللي هتمشي ع Dual antiplatlet therapy بتكون للمريض اللي ركب دعامات ولفترة معينه حنشوفها لاحقاا مع شرح ال ACS ..

lipid Lowering Drug ...

اي مريض SIHD هيمشي على Statins والافضل ب High dose
والغرض انه نقلل ال Atherosclerosis plaque وبنعمللها shrinking

In addition to lifestyle changes, use moderate or high-dose statin if not contraindicated (ACCF/AHA Class I, Level A), or consider bile acid sequestrants, niacin, or both if statins not tolerated
( الجرعات مرفقة مع الصور )
طيب فرضا المريض مش متحمل ال Statin او صار معه SE

For patients who do not tolerate statins, low-density lipoprotein-cholesterol lowering therapy with bile acid sequestrants,* niacin, or both is reasonable.

Note *The use of bile acid sequestrant is relatively contraindicated when triglycerides are ≥200 mg/dL and is contraindicated when triglycerides are ≥500 mg/dL.

نوقف لحد هنا والبوست القادم بنكمل مع ال Anti Ischemia drug
#لعلي_أفيدك