ACC GUIDELINES Bundle

Stable Ischemic Heart Disease

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Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations ACCF, American College of Cardiolog y Foundation; ACE, angiotensin-converting enzyme; ACS, acute coronary syndrome; AHA, American Heart Association; ARB, angiotensin-receptor blocker; BMI, body mass index; BMS, bare-metal stent; BP, blood pressure; CABG, coronary artery bypass gra; CAC, coronary artery calcium; CAD, coronary artery disease; CCS, Canadian Cardiovascular Society; CCTA, coronary/ cardiac computed tomography angiography; CKD, chronic kidney disease; CMR, cardiac magnetic resonance; CT, computed tomography; DAPT, dual antiplatelet therapy; DES, drug-eluting stent; ECG, electrocardiogram; EF, ejection fraction; FFR, fractional flow reserve; GDMT, guideline-directed medical therapy; HbA1c, hemoglobin A1c; IHD, ischemic heart disease; LAD, le anterior descending ; LBBB, le bundle-branch block; LDL-C, low-density lipoprotein cholesterol; LIMA, le internal mammary artery; LV, le ventricular; LVEF, le ventricular ejection fraction; MI, myocardial infarction; MPI, myocardial perfusion imaging ; PCI, percutaneous coronary intervention; SIHD, stable ischemic heart disease; STEMI, ST-elevation myocardial infarction; TMR, transmyocardial revascularization; UA, unstable angina; UA/NSTEMI, unstable angina/ non–ST-elevation myocardial infarction; UPLM, unprotected le main disease Source 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiolog y Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for oracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of oracic Surgeons. J Am Coll Cardiol. 2012;60(24):e44-e164. Circulation. 2012;126(25):e354-3471. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiolog y/American Heart Association Task Force on Practice Guidelines, and the American Association for oracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of oracic Surgeons. J Am Coll Cardiol. 2014 Jul 18. doi: 10.1016/j.jacc.2014.07.017. [Epub ahead of print] Circulation. 2014 Jul 28. pii: CIR.0000000000000095. [Epub ahead of print] 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies: info@GuidelineCentral.com Copyright © 2014 All rights reserved AHASIH14093

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