La posizione della Società Italiana di Cardiologia Invasiva (SICI-GISE) sulle indicazioni alla coronarografia nel paziente con angina stabile

Translated title of the contribution: Position paper of the Italian Society of Invasive Cardiology (SICI-GISE) on indications for coronary angiography in patients with stable angina

Alfredo Marchese, Roberta Rossini, Marco Basile, Francesco Bedogni, Gian Battista Danzi, Giuseppe Musumeci, Valeria Paradies, Emanuela Piccaluga, Gennaro Sardella, Ferdinando Varbella, Arturo Giordano, Sergio Berti

Research output: Contribution to journalArticle

Abstract

Available data suggest a steep increase in stable coronary artery disease with age. Its prevalence reaches a peak of almost 12-14[%] in men aged 65-84 years with an annual mortality ranging from 1.2[%] to 2.4[%]. The diagnosis of stable angina is primarily based on history and therefore relies on clinical judgment. In addition, its diagnosis can be extremely challenging because of the frequent transition from unstable to stable angina. Current European guidelines on the management of stable coronary artery disease give increased importance to the pre-test probability, which strongly affects the diagnostic algorithms. Imaging techniques play a greater role in the diagnosis of stable angina than in the past. Conversely, despite recent advances in technology and in the physiological assessment of coronary stenosis, an ever decreasing relevance is conferred to coronary angiography. Another difficult and controversial issue relates to the prognostic benefit of myocardial revascularization. The aim of this position paper is to review the most relevant clinical aspects of the European guidelines on the management of stable coronary artery disease.

Translated title of the contributionPosition paper of the Italian Society of Invasive Cardiology (SICI-GISE) on indications for coronary angiography in patients with stable angina
Original languageItalian
Pages (from-to)582-589
Number of pages8
JournalGiornale Italiano di Cardiologia
Volume16
Issue number10
DOIs
Publication statusPublished - Oct 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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    Marchese, A., Rossini, R., Basile, M., Bedogni, F., Danzi, G. B., Musumeci, G., Paradies, V., Piccaluga, E., Sardella, G., Varbella, F., Giordano, A., & Berti, S. (2015). La posizione della Società Italiana di Cardiologia Invasiva (SICI-GISE) sulle indicazioni alla coronarografia nel paziente con angina stabile. Giornale Italiano di Cardiologia, 16(10), 582-589. https://doi.org/10.1714/2028.22048