9
Stable Ischemic Heart Disease
Guideline-Directed
Medical erapy
with ongoing patient
education
YES
Sublingual
NTG
Beta blocker if no
contraindication
(Espec. if prior MI, heart failure
or other indication)
Add/substitute
CCB and/or long-
acting nitrate if no
contraindication
Add/
substitute
ranolazine
Serious Contraindication
Serious Contraindication
YES
NO
YES
NO
YES
Persistent symptoms despite
adequate trial of Guideline-
Directed Medical erapy
YES
YES
YES
NO
Consider revascularization
to improve symptoms
Go to Figure 5
YES
NO
Anginal
Symptoms?
Successful
treatment?
Successful
treatment?
Successful
treatment?
