Guidelines for the Management of Patients with Chronic Stable Angina
Authors: Stephan D. Fihn, Sankey V. Williams, Raymond J. Gibbons
Journal: Annals of Internal Medicine (2002)

Letters17 September 2002Guidelines for the Management of Patients with Chronic Stable AnginaStephan D. Fihn, MD, MPH, Sankey V. Williams, MD, and Raymond J. Gibbons, MDStephan D. Fihn, MD, MPHVeterans Affairs Puget Sound Health Care System; Seattle, WA 98108)University of Pennsylvania; Philadelphia, PA 19104-2676Mayo Clinic; Rochester, MN 55905Search for more papers by this author, Sankey V. Williams, MDVeterans Affairs Puget Sound Health Care System; Seattle, WA 98108)University of Pennsylvania; Philadelphia, PA 19104-2676Mayo Clinic; Rochester, MN 55905Search for more papers by this author, and Raymond J. Gibbons, MDVeterans Affairs Puget Sound Health Care System; Seattle, WA 98108)University of Pennsylvania; Philadelphia, PA 19104-2676Mayo Clinic; Rochester, MN 55905Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-6-200209170-00029 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Modest makes several valid points with which we concur. First, clinical practice guidelines must be continuously updated to reflect advances in knowledge. Second, data on the efficacy of coronary bypass surgery are relatively old and may not accurately reflect current practices and outcomes. Third, data are emerging to indicate that aggressive lipid-lowering therapy is an important component of regimens to manage symptoms of ischemia as well as to prevent future complications.With regard to updating clinical guidelines, the American Heart Association and the American College of Cardiology require that updates and revisions be performed regularly. In fact, ...References1. Kwok YS, Kim C, Heidenreich PA. Medical therapy or coronary artery bypass graft surgery for chronic stable angina: an update using decision analysis. Am J Med. 2001;111:89-95. [PMID: 11498060] CrossrefMedlineGoogle Scholar2. Fihn SD, Williams SV, Daley J, Gibbons RJ. Guidelines for the management of patients with chronic stable angina: treatment. Ann Intern Med. 2001;135:616-32. [PMID: 11601935] LinkGoogle Scholar3. Pitt B, Waters D, Brown WV, van Boven AJ, Schwartz L, Title LM, et al . Aggressive lipid-lowering therapy compared with angioplasty in stable coronary artery disease. Atorvastatin versus Revascularization Treatment Investigators. N Engl J Med. 1999;341:70-6. [PMID: 10395630] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Veterans Affairs Puget Sound Health Care System; Seattle, WA 98108)University of Pennsylvania; Philadelphia, PA 19104-2676Mayo Clinic; Rochester, MN 55905 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoGuidelines for the Management of Patients with Chronic Stable Angina: Treatment Stephan D. Fihn , Sankey V. Williams , Jennifer Daley , and Raymond J. Gibbons Guidelines for the Management of Patients with Chronic Stable Angina: Treatment Stephan D. Fihn , Sankey V. Williams , Jennifer Daley , and Raymond J. Gibbons Guidelines for the Management of Patients with Chronic Stable Angina Geoffrey A. Modest Metrics 17 September 2002Volume 137, Issue 6Page: 549KeywordsAnginaForecastingHeartLipidsMortalityPercutaneous coronary interventionRandomized trialsStent implantationSurgeryTreatment guidelines ePublished: 17 September 2002 Issue Published: 17 September 2002 CopyrightCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...