Clinical presentation & Treatment of SAP

• • Although the clinical presentation of SAP is usually clear, sometimes the symptoms are less obvious as may be the case in those with diabetes or in the elderly
  • It is also possible for other conditions to present in a similar fashion to SAP
  • It is vital to have an absolutely definitive diagnosis on which appropriate treatment can be based with confidence
• Treatment:

  • Once a definitive diagnosis has been obtained treatment protocols can be put in place
  • The goals of treatment include a number of aims, the 3 main ones being:
  • symptomatic relief of anginal pain during an anginal episode
  • To reduce the frequency of anginal episodes
  • Slow disease progression – to reduce the risk of transitioning to a myocardial infarction
• Treatment:

  • Treatment can be organised around a number of central themes and a patient may be managed on a number of levels for example:
  • General Management
  • Pharmacological support
  • And if necessary through revascularisation (percutaneous coronary intervention or surgical management)
• Treatment:

  • Although it is vital to encourage and facilitate life-style modification in patients with stable angina, drug therapy is a vital part of their over-all management