Management of unstable angina pectoris

R. O. Russell; W. J. Rogers; J. A. Mantle; N. T. Kouchoukos; R. B. Karp; A. Oberman; E. D. Charles; J. Wayne; C. E. Rackley; L. Resnekov; M. Wolk; R. A. Rosati; C. R. Conti; L. C. Becker; A. M. Hutter; T. L. Biddle; J. C. Schroeder; E. M. Kaplan; J. P. Gilbert; P. L. Frommer; M. B. Mock

Management of unstable angina pectoris

R. O. Russell, W. J. Rogers, J. A. Mantle, N. T. Kouchoukos, R. B. Karp, A. Oberman, E. D. Charles, J. Wayne, C. E. Rackley, L. Resnekov, M. Wolk, R. A. Rosati, C. R. Conti, L. C. Becker, A. M. Hutter, T. L. Biddle, J. C. Schroeder, E. M. Kaplan, J. P. Gilbert, P. L. FrommerM. B. Mock

Social and Family Dynamics, T. Denny Sanford School of (SSFD)

Research output: Contribution to journal › Article › peer-review

Abstract

Our own present management of patients with unstable angina pectoris is to hospitalize them in a coronary care unit and institute both long acting nitrates (as well as nitroglycerin for each episode of angina) and propranolol. These agents are increased stepwise until control of pain or significant reduction of blood pressure and heart rate occurs. Coronary arteriography is performed within a few days, in the absence of acute myocardial infarction, in order to determine the coronary artery anatomy. If the pain has not been alleviated with the medical program or if the patient has left main coronary stenosis (over 50 percent lumenal diameter narrowing) or three vessel disease, we advise early surgery. Otherwise the patient is followed and surgery may be planned electively if angina pectoris limits the lifestyle desired by the patient.

Original language	English (US)
Pages (from-to)	65-70
Number of pages	6
Journal	Cardiovascular Clinics
Volume	11
Issue number	3
State	Published - Dec 1 1981

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Cite this

Russell, R. O., Rogers, W. J., Mantle, J. A., Kouchoukos, N. T., Karp, R. B., Oberman, A., Charles, E. D., Wayne, J., Rackley, C. E., Resnekov, L., Wolk, M., Rosati, R. A., Conti, C. R., Becker, L. C., Hutter, A. M., Biddle, T. L., Schroeder, J. C., Kaplan, E. M., Gilbert, J. P., ... Mock, M. B. (1981). Management of unstable angina pectoris. Cardiovascular Clinics, 11(3), 65-70.

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title = "Management of unstable angina pectoris",

abstract = "Our own present management of patients with unstable angina pectoris is to hospitalize them in a coronary care unit and institute both long acting nitrates (as well as nitroglycerin for each episode of angina) and propranolol. These agents are increased stepwise until control of pain or significant reduction of blood pressure and heart rate occurs. Coronary arteriography is performed within a few days, in the absence of acute myocardial infarction, in order to determine the coronary artery anatomy. If the pain has not been alleviated with the medical program or if the patient has left main coronary stenosis (over 50 percent lumenal diameter narrowing) or three vessel disease, we advise early surgery. Otherwise the patient is followed and surgery may be planned electively if angina pectoris limits the lifestyle desired by the patient.",

author = "Russell, {R. O.} and Rogers, {W. J.} and Mantle, {J. A.} and Kouchoukos, {N. T.} and Karp, {R. B.} and A. Oberman and Charles, {E. D.} and J. Wayne and Rackley, {C. E.} and L. Resnekov and M. Wolk and Rosati, {R. A.} and Conti, {C. R.} and Becker, {L. C.} and Hutter, {A. M.} and Biddle, {T. L.} and Schroeder, {J. C.} and Kaplan, {E. M.} and Gilbert, {J. P.} and Frommer, {P. L.} and Mock, {M. B.}",

year = "1981",

month = dec,

day = "1",

language = "English (US)",

volume = "11",

pages = "65--70",

journal = "Cardiovascular Clinics",

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T1 - Management of unstable angina pectoris

AU - Russell, R. O.

AU - Rogers, W. J.

AU - Mantle, J. A.

AU - Kouchoukos, N. T.

AU - Karp, R. B.

AU - Oberman, A.

AU - Charles, E. D.

AU - Wayne, J.

AU - Rackley, C. E.

AU - Resnekov, L.

AU - Wolk, M.

AU - Rosati, R. A.

AU - Conti, C. R.

AU - Becker, L. C.

AU - Hutter, A. M.

AU - Biddle, T. L.

AU - Schroeder, J. C.

AU - Kaplan, E. M.

AU - Gilbert, J. P.

AU - Frommer, P. L.

AU - Mock, M. B.

PY - 1981/12/1

Y1 - 1981/12/1

N2 - Our own present management of patients with unstable angina pectoris is to hospitalize them in a coronary care unit and institute both long acting nitrates (as well as nitroglycerin for each episode of angina) and propranolol. These agents are increased stepwise until control of pain or significant reduction of blood pressure and heart rate occurs. Coronary arteriography is performed within a few days, in the absence of acute myocardial infarction, in order to determine the coronary artery anatomy. If the pain has not been alleviated with the medical program or if the patient has left main coronary stenosis (over 50 percent lumenal diameter narrowing) or three vessel disease, we advise early surgery. Otherwise the patient is followed and surgery may be planned electively if angina pectoris limits the lifestyle desired by the patient.

AB - Our own present management of patients with unstable angina pectoris is to hospitalize them in a coronary care unit and institute both long acting nitrates (as well as nitroglycerin for each episode of angina) and propranolol. These agents are increased stepwise until control of pain or significant reduction of blood pressure and heart rate occurs. Coronary arteriography is performed within a few days, in the absence of acute myocardial infarction, in order to determine the coronary artery anatomy. If the pain has not been alleviated with the medical program or if the patient has left main coronary stenosis (over 50 percent lumenal diameter narrowing) or three vessel disease, we advise early surgery. Otherwise the patient is followed and surgery may be planned electively if angina pectoris limits the lifestyle desired by the patient.

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M3 - Article

C2 - 6971150

SN - 0069-0384

VL - 11

SP - 65

EP - 70

JO - Cardiovascular Clinics

JF - Cardiovascular Clinics

IS - 3

ER -

Management of unstable angina pectoris

Abstract

ASJC Scopus subject areas

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