Please describe a good approach to stable angina.
Nelson Ferreira, MD, North York, ON
The treatment of angina would be to control symptoms with the use of beta blockers, calcium blockers and nitrates, either alone or in combination therapy. These drugs control symptoms, not alter the progress of atherosclerosis, which requires disease modifying strategies such as aspirin, cholesterol drugs and lifestyle changes. Obviously smoking cessaton should be a priority. For many patients doing a stress test to see how much heart tissue is at risk is very reasonable.