November 2020

Abstract 2: Initial Invasive or Conservative Strategy for Stable CAD

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Ian L. -

For primary care the threat is new onset angina . So you could check how easily and how often the angina is brought on and order rest then graded exercise and start aspirin statins and beta blockers if there is "reasonable " exercise ability infrequent angina and no cardiac risk factors particularly a family history of premature cardiac disease . But you are really wanting to exclude left main stem disease and left ventricular dysfunction high atherosclerotic burden and inflammation . -This occurs in up to 6 % of coronary heart disease . -In fact most patients had a CCTA to rule out left main stenosis .

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