{"id":9555,"date":"2021-12-26T22:23:06","date_gmt":"2021-12-26T20:23:57","guid":{"rendered":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/stabile-ischemic-heart-disease-risk-factors-diagnostic-treatment\/"},"modified":"2021-12-27T00:58:38","modified_gmt":"2021-12-26T22:58:38","slug":"stable-ischemic-heart-disease-risk-factors-diagnostic-treatment","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/stable-ischemic-heart-disease-risk-factors-diagnostic-treatment\/","title":{"rendered":"Stable ischemic heart disease (risk factors, diagnostic, treatment)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Ischemic heart disease (IHD) is a condition in which the coronary arteries become occluded due to atherosclerosis and thrombosis. <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It can manifest in a spectrum ranging from stable disease (SIHD), to unstable and potentially life-threatening (acute coronary syndrome).<\/li><li>IHD is said to be stable (<strong>SIHD<\/strong>) in case there is no acute worsening of the patient&#8217;s condition and symptoms.<\/li><\/ul>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Risk factors<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<ul class=\"wp-block-list\"><li>Old age<\/li><li>Obesity and metabolic syndrome<\/li><li>DM<\/li><li>Dyslipidemia<\/li><li>Hypertension<\/li><li>Smoking<\/li><li>Sedetary lifestyle<\/li><li>Cerebrovascular and peripheral arterial disease<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Diagnosis<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<ul class=\"wp-block-list\"><li>Medical history and clinical presentation<ul><li>Patients typically complain of lack of energy, exertional dyspnea and fatigue, epigastric pain or discomfort<\/li><li>Some patients may complain of exertional (stable) angina.<\/li><\/ul><\/li><li>ECG<ul><li>Left-axis deviation<\/li><li>T-wave invesion<\/li><li>Signs of LVH<\/li><li>BBB<\/li><li>Atrial flutter\/fibrilation<\/li><\/ul><\/li><li>Echocardiography<\/li><li>Excercise\/pharmacological stress-test<\/li><li>SPECT myocardial perfusion imaging<\/li><li>Coronary CT angiography<\/li><li>Invasive coronary angiography (&#8220;gold standard&#8221; for evaluation of epicardial CAD)<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Treatment<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<ul class=\"wp-block-list\"><li>Lifestyle modifications: physical activity, diet and weight reduction, smoking cessation, stress management.<\/li><li>Prognosis-improving therapy:<ul><li>Antiplatelet\/dual antiplatelet therapy<\/li><li>ACEi\/ARBs<\/li><li>BBs<\/li><li>Statins<\/li><\/ul><\/li><li>Quality of life improving therapy:<ul><li>Nitrates<\/li><li>CCB<\/li><li>Ivabradine<\/li><\/ul><\/li><li>Revascularization therapy in high-risk patients (PCI and CABG)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Reference: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4854947\/, https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5628665\/<br>https:\/\/bestpractice.bmj.com\/topics\/en-us\/148<\/p>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Risk factors<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Diagnosis<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Treatment<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Ischemic heart disease (IHD) is a condition in which the coronary arteries become occluded due to atherosclerosis and thrombosis. It can manifest in a spectrum ranging from stable disease (SIHD), to unstable and potentially life-threatening (acute coronary syndrome). IHD is said to be stable (SIHD) in case there is no acute worsening of the patient&#8217;s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":410,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9555","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stable ischemic heart disease (risk factors, diagnostic, treatment) &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/stable-ischemic-heart-disease-risk-factors-diagnostic-treatment\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/stable-ischemic-heart-disease-risk-factors-diagnostic-treatment\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/stable-ischemic-heart-disease-risk-factors-diagnostic-treatment\\\/\",\"name\":\"Stable ischemic heart disease (risk factors, diagnostic, treatment) &#8211; 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