Chapter 7: Stable Ischemic Heart Disease

• Section 7.1: Clinical Presentation and Diagnosis

  • 7.1.1: Angina Pectoris
    • Typical vs. atypical symptoms
    • Stable vs. unstable patterns
  • 7.1.2: Non-invasive Testing
    • Exercise stress testing
    • Stress echocardiography and nuclear stress testing
  • 7.1.3: Coronary Angiography
    • Anatomical vs. functional assessment
    • Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR)

• Section 7.2: Medical and Surgical Management

  • 7.2.1: Pharmacotherapy
    • Beta-blockers and calcium channel blockers
    • Nitrates and ranolazine
  • 7.2.2: Indications for Revascularization
    • Symptom control
    • Prognostic benefit in high-risk patients

• Section 7.3: Percutaneous Coronary Intervention (PCI) and CABG

  • 7.3.1: PCI
    • Techniques of stenting (bare-metal vs. drug-eluting)
    • Management of complex lesions
  • 7.3.2: CABG
    • Graft selection (internal mammary artery, saphenous vein)
    • On-pump vs. off-pump surgery