• European cardiology · Dec 2016

    Review

    Management of Refractory Angina Pectoris.

    • Kevin Cheng, Paul Sainsbury, Michael Fisher, and Ranil de Silva.
    • Specialist Angina Service, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
    • Eur Cardiol. 2016 Dec 1; 11 (2): 69-76.

    AbstractWith improvements in survival from coronary artery disease (CAD) and an ageing population, refractory angina (RA) is becoming an increasingly common clinical problem facing clinicians in routine clinical practice. These patients experience chronic symptoms in the context of CAD, characterised by angina-type pain, which is uncontrolled despite optimal pharmacological, interventional and surgical therapy. Although mortality rates are no worse in this cohort, patients experience a significantly impaired quality of life with disproportionately high utilisation of healthcare services. It has been increasingly recognised that the needs of RA patients are multifactorial and best provided by specialist multi-disciplinary units. In this review, we consider the variety of therapies available to clinicians in the management of RA and discuss the promise of novel treatments.

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