Combined Treatment of Stable Effort-Induced Angina and Mixed Angina

摘要: The principles for medical management of transient myocardial ischemia in patients with angina pectoris are based on drugs that affect either oxygen demand, supply or both, as the development symptomatic asymptomatic is caused by an imbalance between demand and supply. Traditionally, a fixed coronary artery stenosis has been assessed most stable cause through increase flow reserve. Hitherto, this concept supported exercise testing, which often very reproducible same level work load individual patients. However, use ambulatory electrocardiographic monitoring it noted during daily life effort-induced occurs at heart rate substantially lower than exercise-induced [6, 8, 13, 21, 62, 75, 85]. This observation makes assessment more complex reduction supply, normally tolerated seems to play essential role even classic exertional angina. It context observed, may exhibit episodic vasoconstriction superimposed atherosclerotic lesions induced increased alpha-adrenergic stimulation cold pressor test [50].