A Member of the University of Maryland Medical System | In Partnership with the University of Maryland School of Medicine
Angina crónica; Angina pectoral
El médico le puede solicitar que tome nitroglicerina unos cuantos minutos antes si usted planea llevar a cabo una actividad que pueda desencadenar el dolor de la angina.
La mejor manera de prevenir la angina consiste en reducir el riesgo de cardiopatía coronaria:
Las cantidades moderadas de alcohol (un vaso al día para las mujeres, dos para los hombres) pueden reducir su riesgo de problemas cardíacos. Sin embargo, beber cantidades más grandes hace más mal que bien.
La reducción de los factores de riesgo de cardiopatía puede prevenir el empeoramiento de las obstrucciones y puede disminuir su gravedad, lo cual reduce el dolor anginoso.
Las nuevas pautas ya no recomiendan ninguna hormonoterapia, vitaminas E o C, antioxidantes ni ácido fólico para prevenir la cardiopatía. El uso de la hormonoterapia en mujeres que están cerca de la menopausia o que ya la han finalizado es polémico en este momento.
Fraker TD Jr, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J et al. 2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation. 2007;116:2762-2772.
Morrow DA, Boden WE. Stable ischemic heart disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 57.
Becker RC, Meade TW, Berger PB, Ezekowitz M, O'Connor CM, Vorchheimer DA, et al. The primary and secondary prevention of coronary artery disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133(6 Suppl):776S-814S.
Serruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, et al. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. N Engl J Med. 2009;360:961-972. Epub 2009 Feb 18.
Mosca L, Benjamin EJ, Berra K, Bezanson JL, Dolor RJ, Lloyd-Jones DM, et al. Effectiveness-based guidelines for the prevention of cardiovascular disease in women -- 2011 update: A guideline from the American Heart Association. J Am Coll Cardiol. 2011; 57:1404-1423.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885