Key result
Clinical risk stratification using chest pain history, risk factors, and stress testing guides the optimal treatment of coronary artery disease with medical therapy or revascularization.
Provides a general overview of the evaluation, risk stratification, and management strategies for patients with suspected coronary artery disease.
Answers are grounded in this paper and cite their sources.
Supports clinical risk stratification to guide CAD therapy; leaves open prospective validation with modern imaging.
Coronary artery disease affects millions of Americans and is a major cause of global morbidity and mortality. Detection and optimal treatment strategies are needed to reduce the clinical and economic burden of this disease. Chest pain history, risk factor profile, and noninvasive stress test results are used for clinical risk stratification. In high-risk patients, coronary angiography is the standard for anatomic diagnosis and additional risk stratification. All patients with coronary artery disease should be treated with optimal medical therapy. Patients with uncontrolled symptoms or high risk for adverse outcomes benefit from coronary artery revascularization with percutaneous coronary intervention or coronary artery bypass graft surgery.
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Menees et al. (2010) conducted a review in coronary artery disease. Clinical risk stratification using chest pain history, risk factors, and stress testing guides the optimal treatment of coronary artery disease with medical therapy or revascularization.
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