Management of Coronary Artery Disease and Chronic Stable Angina

Yesenia Camero, PharmD, BCPS; Jinwi Ghogomu, PharmD, BCPS, CPh


US Pharmacist. 2017;42(2):27-31. 

In This Article


The evaluation of patients with SIHD includes coronary angiography, which is considered the gold standard for CAD diagnosis.[4] Coronary angiography uses a contrast material and x-rays to show how blood flows through the coronary arteries.[5] Patients in whom SIHD is suspected who have unacceptable ischemic symptoms and who, despite guideline-directed medication therapy, still have persistent ischemic symptoms may benefit from coronary angiography. Coronary angiography may be able to define the extent and severity of CAD in patients in whom SIHD is suspected. These patients must be amenable to and qualify for coronary revascularization and have undergone noninvasive testing, excluding stress tests indicating a high likelihood of severe IHD. Coronary angiography may also be beneficial in patients who cannot undergo stress testing or have an indeterminate or nondiagnostic stress test when there is a high likelihood that findings may result in changes to therapy. Additionally, coronary angiography may be considered in patients with acceptable stress-test results not suggestive of the presence of CAD when clinical suspicion of CAD remains high and the likelihood is great that findings may result in changes to therapy.[5]