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Management of patients with refractory angina: Canadian Cardiovascular Society/Canadian Pain Society joint guidelines.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2012 Mar-Apr; Vol. 28 (2 Suppl), pp. S20-41. - Publication Year :
- 2012
-
Abstract
- Refractory angina (RFA) is a debilitating disease characterized by cardiac pain resistant to conventional treatments for coronary artery disease including nitrates, calcium-channel and β-adrenoceptor blockade, vasculoprotective agents, percutaneous coronary interventions, and coronary artery bypass grafting. The mortality rate of patients living with RFA is not known but is thought to be in the range of approximately 3%. These individuals suffer severely impaired health-related quality of life with recurrent and sustained pain, poor general health status, psychological distress, impaired role functioning, and activity restriction. Effective care for RFA sufferers in Canada is critically underdeveloped. These guidelines are predicated upon a 2009 Canadian Cardiovascular Society (CCS) Position Statement which identified that underlying the problem of RFA management is the lack of a formalized, coordinated, interprofessional strategy between the cardiovascular and pain science/clinical communities. The guidelines are therefore a joint initiative of the CCS and the Canadian Pain Society (CPS) and make practice recommendations about treatment options for RFA that are based on the best available evidence. Concluding summary recommendations are also made, giving direction to future clinical practice and research on RFA management in Canada.<br /> (Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Activities of Daily Living
Canada
Humans
Meta-Analysis as Topic
Outcome and Process Assessment, Health Care
Patient Care Team organization & administration
Quality Indicators, Health Care
Safety Management standards
Secondary Prevention
Sickness Impact Profile
Societies, Medical
Stress, Psychological etiology
Angina Pectoris diagnosis
Angina Pectoris etiology
Angina Pectoris physiopathology
Angina Pectoris therapy
Cardiovascular Agents therapeutic use
Disease Management
Myocardial Revascularization adverse effects
Myocardial Revascularization methods
Pain, Intractable complications
Pain, Intractable physiopathology
Self Care methods
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 28
- Issue :
- 2 Suppl
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 22424281
- Full Text :
- https://doi.org/10.1016/j.cjca.2011.07.007