Resumen
Definición y manifestaciones clínicas
La angina crónica estable es una manifestación común de la enfermedad coronaria, siendo esta última la principal causa de muerte en el mundo. La presencia de angina crónica estable aumenta el riesgo de eventos cardiovasculares mayores, de ahí la importancia de su detección y tratamiento. La angina es tradicionalmente definida como un dolor retroesternal de menos de diez minutos de duración, desencadenado por el ejercicio o situaciones de estrés que cede con el reposo o con nitroglicerina.
Diagnóstico y evaluaciónEs importante realizar un diagnóstico correcto, donde es clave la historia clínica; sin embargo, se dispone de un gran número de técnicas diagnósticas tanto invasivas como no invasivas para su correcta detección, que permiten la demostración de isquemia o la visualización de la anatomía coronaria.
Estratificación del riesgoTan importante es la realización de un diagnóstico correcto, como el efectuar una adecuada estratificación del riesgo, ya que este proceso sirve para proporcionar una información adecuada sobre el pronóstico y para planificar la actitud terapéutica más adecuada.
Palabras clave
Angina
Enfermedad coronaria
Detección de isquemia miocárdica
Estratificación del riesgo
Abstract
Definition and clinical signs
Chronic stable angina is a common sign of heart disease, which is the primary cause of death worldwide. The presence of chronic stable angina increases the risk of greater cardiovascular events, and thus the importance of their detection and treatment. Angina is traditionally defined as a retroesternal pain lasting for at least 10minutes, triggered by exercise or stressful situations and which recedes when resting or with nitroglycin medication.
Diagnosis and evaluationIt is important to reach an accurate diagnosis, with medical records being crucial. However, there are a great number of diagnostic techniques which are both invasive and non invasive for accurate detection, and which show ischaemia or provide imaging of coronary anatomy.
Risk stratificationIt is important to both obtain an accurate diagnosis and complete an appropriate risk stratification, since this process serves to provide the right information about prognosis and to plan the most suitable therapeutic approach.
Keywords
Angina
Coronary heart disease
Detection of myocardial ischaemia
Risk stratification
Identifíquese
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