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首页> 外文期刊>Italian Journal of Medicine >Management of stable coronary artery disease: from evidence to clinical practice
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Management of stable coronary artery disease: from evidence to clinical practice

机译：稳定冠状动脉疾病的管理：从证据到临床实践

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摘要

Ischemic heart disease, the leading cause of death, is extremely diffuse among patients hospitalized in Internal Medicine ward so that Internist should be able to manage correctly this disease. The following review revises the most recent literature and offers a practical clinical guide to be confident on this topic. After having emphasized that clinical overview remains essential, it briefly mentions advantages and limits of different investigations, reminds readers of possible alternative etiopathogeneses of ischemic heart disease (cardiac syndrome X), reports the most appropriate medical therapy, and gives the opportunity to understand appropriateness of specialist strategies such as coronary artery by-pass grafting and percutaneous coronary intervention. Finally, it illustrates a rational and evidence-based follow-up of these patients, considering that only a small part of them should be followed by a Cardiologist. The aim of a correct management of ischemic heart disease remains to reduce mortality and improve the quality of life.
机译：缺血性心脏病是导致死亡的主要原因，在内科病房住院的患者中非常分散，因此Internist应该能够正确处理该疾病。以下评论修订了最新文献，并提供了实用的临床指导，以使您对该主题充满信心。在强调了临床概述仍然是必不可少的之后，它简要地提到了不同研究的优点和局限性，提醒读者缺血性心脏病（心脏病X综合征）可能的替代病原体，报告了最合适的药物治疗方法，并提供了了解以下方面的适当性的机会专家策略，例如冠状动脉旁路移植术和经皮冠状动脉介入治疗。最后，它说明了对这些患者的合理且循证的随访，考虑到心脏科医师应仅对其中一小部分进行随访。正确治疗缺血性心脏病的目的仍然是降低死亡率和改善生活质量。

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