Journal of Clinical and Preventive Cardiology

REVIEW ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 2  |  Page : 60--71

The role of optimal medical therapy in patients with stable coronary artery disease


JPS Sawhney1, Dhiman Kahali2, Bhupen Desai3, Suresh KP Kumar4, M Vishvanathan5, Vishal Rastogi6 
1 Sawhney Heart Centre, New Delhi, India
2 Department of Cardiology, BM Birla Heart Research Centre, Kolkata, West Bengal, India
3 Department of Cardiology, Desai Heart Care Clinic, Borivali West, Mumbai, Maharashtra, India
4 Department of Cardiology, Kauvery Hospital, Chennai, Tamil Nadu, India
5 Department of Cardiology, Jaslok Hospital, Mumbai, Maharashtra, India
6 Department of Cardiology, Fortis Escorts, New Delhi, India

Correspondence Address:
Dr. JPS Sawhney
Sawhney Heart Centre, West Punjabi Bagh, New Delhi
India

Coronary artery disease (CAD) is a leading cause of mortality and morbidity around the globe. The fact that prevalence and mortality due to CAD are declining in developed countries cannot be held true in developing countries. Almost fourfold increase in CAD prevalence has been reported in India in the past 40 years. This incidence is likely to increase further in the coming years. The heterogeneity of the disease presentation is an important challenge in the management of these patients, and the current therapies are not universally effective in controlling these symptoms. Even with the advancements in medical therapies over the last two decades, it is unclear whether percutaneous coronary intervention (PCI) provides a prognostic advantage over optimal medical therapy (OMT) in the management of stable angina patients. The current review primarily focuses on the use of OMT for stable CAD patients and also discusses the role of coronary revascularization, especially PCI, in the management of these patients. This is based on evidence-based recommendations and guidelines.


How to cite this article:
Sawhney J, Kahali D, Desai B, Kumar SK, Vishvanathan M, Rastogi V. The role of optimal medical therapy in patients with stable coronary artery disease.J Clin Prev Cardiol 2018;7:60-71


How to cite this URL:
Sawhney J, Kahali D, Desai B, Kumar SK, Vishvanathan M, Rastogi V. The role of optimal medical therapy in patients with stable coronary artery disease. J Clin Prev Cardiol [serial online] 2018 [cited 2019 Dec 16 ];7:60-71
Available from: http://www.jcpconline.org/article.asp?issn=2250-3528;year=2018;volume=7;issue=2;spage=60;epage=71;aulast=Sawhney;type=0