The Curbsiders Internal Medicine Podcast

#279 Dominate Stable Angina with the CardioNerds

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Jun 14, 2021

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ADVICE

Cardiovascular Prevention

Use a "4+2" approach to cardiovascular prevention: 4 steps for risk stratification, 2 for treatment.
Address lifestyle, and escalate preventative measures based on risk.

ADVICE

Initial Management of Stable Angina

Start with aspirin and intensify statin therapy in patients with suspected stable angina.
Address modifiable risk factors over time, not all at once.

INSIGHT

Statins vs. Anti-anginals

Statins primarily prevent MIs and do not typically improve angina symptoms.
Anti-anginal therapies like beta-blockers and calcium channel blockers address symptoms.

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Learn how to dominate stable angina. Coronary artery disease with stable angina is a different beast than acute coronary syndrome. We deconstruct it’s pathophysiology, diagnosis, and management with Drs. Dan Ambinder and Rick Ferraro. Topics: When to order coronary CT vs Stress testing; An approach to non-obstructive coronary disease; What treatments are life prolonging; Medical therapy vs Stenting; An approach to antianginal therapy; and how to partner with each patient. Listen as we dive deep into the recent literature and recommendations to dominate stable angina.

Credits

Producer: Molly Heublein, MD
Writer: Molly Heublein, MD, Michael Sternberg MD
Show Notes: Molly Heublein, MD, Beth Garbitelli
Infographic, Cover Art: Beth Garbitelli
Hosts: Molly Heublein, MD; Paul Williams MD, FACP
Editor: (written materials); Cyrus Askin MD, Clair Morgan of nodderly.com
Guest: Daniel Ambinder, MD; Rick Ferraro, MD

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Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Picks of the Week*
Case from Kashlak
Definitions of stable angina, unstable angina
INOCA
Assessing risk
Treatment - life prolonging vs symptom relief
Diagnosis- stress testing vs anatomical studies
Angioplasty/stenting- ISCHEMIA trial
Take home points
Outro