Public Release: 

Mayo Clinic Cardiologist Available To Discuss New Guidelines On Treatment Of Stable Angina

Mayo Clinic

When:
The complete guidelines will appear in the June issue of the Journal of the American College of Cardiology. An executive summary appears in the June 7 issue of Circulation: Journal of the American Heart Association.

Who:
Dr. Raymond Gibbons
Mayo Clinic cardiologist and chair of the committee that wrote the guidelines

Summary:
Heart disease caused by insufficient blood and oxygen flow to the heart muscle is the single leading cause of death in the United States. The most common manifestation of this disease is chronic stable angina, a form of chest pain that causes discomfort in the chest, jaw, shoulder, back or arm and is typically aggravated by exertion or emotional stress. Stable angina has a predictable pattern for a prolonged time.

Key Findings:
New guidelines published by three major national medical organizations emphasize a simple treatment mnemonic -- ABCDE -- that outlines the ten most important treatment elements of stable angina management:

    A -- Aspirin, anti-anginal drugs
    B -- Blood pressure control, beta-blocker drugs
    C -- Cholesterol, cigarettes
    D -- Diet, diabetes
    E -- Exercise, education of the patient

Other key findings include:

  • Lipid-lowering therapies clearly improve patient outcomes.
  • Vitamin E and Vitamin C therapy have not yet been proven.
  • Chelation therapy, garlic and acupuncture are not effective and in some cases may be potentially harmful.
  • Use of electron beam computed tomography has not been clearly demonstrated to be a beneficial diagnostic technique.

###

To receive Mayo Clinic news releases by e-mail, send a message to newsbureau@mayo.edu. Include your name, affiliation and e-mail address. Mayo Clinic news releases are available on the Mayo Home Page, http://www.mayo.edu. Mayo Clinic health information is available on Mayo Clinic Health Oasis at http://www.mayohealth.org.


Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.