Only fools will manage unstable angina medically !
That was exactly the statement , one popular Interventional cardiologist told a small gathering in one of the weekly meet .
Do you agree ? Answer
We can’t make a blanket statement like that . We have clear guidelines (Of course as licensed and certified cardiology practitioner you have every right to violate it!) .
UA is risk stratified in Low , Intermediate and High risk categories .Only high risk group require emergency Intervention .Even in high risk group there are some reservation.(ICTUS study )
There are some very mild forms of UA (High grade stable angina precipitated by an emotional stress will exactly mimic UA. Similarly most secondary UA due to tachyardia , Anemia etc should not cause an alarm .)
*Please note , currently coronary angiogram is included in medical investigation in most patients with UA . The confusion in interpreting such statements is partly because many physicians/ cardiologists consider doing a coronary angiogram by itself an Interventional management
Reference
The contents of the this blog is being published as Kindle E book , as per the request of many of the readers. Every article will continue to be open source in this site. Again I shall reiterate the book format is not aimed at any commercial intent. It is only to facilitate learning in a single book format Here is the link to book https://amzn.in/d/euhL5vu
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Please Note
The author acknowledges all the queries posted by the readers and wishes to answer them .Due to logistic reasons only few could be responded. Inconvenience caused is regretted.
Dr.S.Venkatesan MD 