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Guideline:

Chronic stable angina

National Guideline Clearinghouse (NGC). Guideline summary: Chronic stable angina In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): cited 2001 Feb (revised 2003 Apr). Available: http://www.guideline.gov.


Bibliographic Source(s)

  • Texas Tech University Managed Health Care Network Pharmacy & Therapeutics Committee. Chronic stable angina. Conroe (TX): University of Texas Medical Branch Correctional Managed Care; 2003 Apr. 5 p. [2 references]

Guideline Status

This is the current release of the guideline.

This guideline updates a previous version: Texas Tech University Managed Health Care Network Pharmacy & Therapeutics Committee. Chronic stable angina. Conroe (TX): Texas Department of Criminal Justice University of Texas Medical Branch; 2002 Nov. 2 p.

Guideline Category

Management

Intended Users

Health Care Providers
Physicians

Guideline Objective(s)

To provide appropriate recommendations for the management of chronic stable angina

Target Population

Incarcerated offenders within the Texas Department of Criminal Justice with chronic stable angina

Interventions and Practices Considered

  1. Pharmacotherapy:
    • Calcium channel antagonist
    • Long acting nitrate therapy
    • Acetylsalicylic acid (Aspirin) (ASA)
    • Beta-blocker
    • Isosorbide
  2. Avoidance of short-acting dihydropyridine calcium antagonists
  3. Evaluation of response to treatment; adjustment of medications as needed
  4. Cardiology consult as needed

Major Outcomes Considered

Not stated

Methods Used to Collect/Select Evidence

Searches of Electronic Databases

Description of Methods used to Collect/Select the Evidence

Not stated

Number of Source Documents

Not stated

Methods Used to Assess the Quality and Strength of the Evidence

Not stated

Rating Scheme for the Strength of the Evidence

Not applicable

Methods Used to Analyze the Evidence

Review

Description of the Methods Used to Analyze the Evidence

Not stated

Methods Used to Formulate the Recommendations

Not stated

Rating Scheme for the Strength of the Recommendations

Not applicable

Cost Analysis

A formal cost analysis was not performed and published cost analyses were not reviewed.

Method of Guideline Validation

Not stated

Description of Method of Guideline Validation

Not applicable

Major Recommendations

The major recommendations are provided in the form of an algorithm for: Chronic Stable Angina.

Clinical Algorithm(s)

An algorithm is provided for: Chronic Stable Angina.

Type of Evidence supporting the Recommendations

The guideline was adapted from the following sources:

ACC/AHA 2002 Guideline Update for the Management of Patients with Chronic Stable Angina: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 2003; 41:159-68.

ACC/AHA/ACP-ASIM Guidelines for the Management of Patients with Chronic Stable Angina: Executive Summary and Recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina). Circulation. 1999; 99:2829-2848.

Potential Benefits

Appropriate management of chronic stable angina

Potential Harms

Not stated

Qualifying Statements

The pathways do not replace sound clinical judgment nor are they intended to strictly apply to all patients.

Description of Implementation Strategy

An implementation strategy was not provided.

Implementation Tools

Clinical Algorithm

For information about availability see the "Availability of Companion Documents" and "Patient Resources" fields below.

IOM Care Need

Living with Illness

IOM Domain

Effectiveness

Bibliographic Source(s)

  • Texas Tech University Managed Health Care Network Pharmacy & Therapeutics Committee. Chronic stable angina. Conroe (TX): University of Texas Medical Branch Correctional Managed Care; 2003 Apr. 5 p. [2 references]

Adaptation

The guideline was adapted from the following sources:

ACC/AHA 2002 Guideline Update for the Management of Patients with Chronic Stable Angina: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 2003; 41:159-68.

ACC/AHA/ACP-ASIM Guidelines for the Management of Patients with Chronic Stable Angina: Executive Summary and Recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina). Circulation. 1999; 99:2829-2848.

Source(s) of Funding

University of Texas Medical Branch Correctional Managed Care

Guideline Committee

Texas Tech University Managed HealthCare Network Pharmacy & Therapeutics Committee

Composition of Group that Authored the Guideline

Not stated

Financial Disclosures/Conflicts of Interest

Not stated

Guideline Status

This is the current release of the guideline.

This guideline updates a previous version: Texas Tech University Managed Health Care Network Pharmacy & Therapeutics Committee. Chronic stable angina. Conroe (TX): Texas Department of Criminal Justice University of Texas Medical Branch; 2002 Nov. 2 p.

Guideline Availability

Print copies: Available from University of Texas Medical Branch (UTMB) 3009A HWY 30 West Huntsville TX 77340.

Availability of Companion Documents

None available

Patient Resources

None available

NGC STATUS

This summary was updated by ECRI on April 21 2004.

COPYRIGHT STATEMENT

This NGC summary is based on the original guideline which is subject to the guideline developer's copyright restrictions.

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