The Curbsiders Internal Medicine Podcast #279 Dominate Stable Angina with the CardioNerds
01:22:51
Defining Stable Angina
- Stable angina is predictable chest pain worsening with exertion and relieved by rest.
- It may radiate to arms or neck, and feel like discomfort.
Differentiating Unstable Angina
- Unstable angina is chest pain with an acute change in symptom pattern.
- This change necessitates urgent evaluation, possibly for acute coronary syndrome.
New vs. Unstable Angina
- Differentiating new stable angina from unstable angina can be challenging.
- Consider the overall clinical picture and risk factors.
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Introduction
00:00 • 2min
The Approach to Diagnosing and Treating Stable Coronary Heart Disease and Stable Angina
01:35 • 2min
Rick Ferrero: Cardio Nerds Podcast Producer
03:46 • 3min
How to Adjust to a Mask
07:10 • 2min
The Definition of Stable Angina
09:15 • 2min
The Different Types of Stable Angina
11:07 • 3min
How to Differentiate Stable Angina From Unstable Angina Early On
13:54 • 5min
The Current Paradigm of Chronic Coronary Artery Disease
18:26 • 5min
The Four Plus Two for Cardiovascular Prevention
23:29 • 2min
The Four Plus Two Paradigm
25:28 • 2min
How to Manage Chest Pain as a Primary Care Prevention
27:13 • 2min
How to Prevent Stable Angina With Statins
29:33 • 4min
How to Treat Stable Angina With Beta Blockers
33:38 • 3min
Echocardiography: How to Evaluate Coronary Anatomy
36:29 • 2min
The Benefits of CT Angiograms for Coronary Artery Disease
38:53 • 4min
How to Refinance Your Student Loans
42:49 • 3min
The Role of Stress Testing in Coronary Artery Disease
45:37 • 4min
When Should I Go for a Stress Test?
50:03 • 2min
The Importance of Anatomic Imaging in Cardiology
52:32 • 3min
The Role of CT in Cardiology
55:23 • 5min
The Importance of Educating Patients Before Surgery
01:00:49 • 1min
How to Counsel Patients With Stable Angina
01:02:14 • 5min
How to Maximize Anti-Anginal Therapies
01:07:26 • 3min
The Role of PCI in Stable Angina
01:10:01 • 5min
The Schema Trial: Medical Therapy vs. Symptoms
01:15:17 • 2min
The Schema Trial and Non-Obstructive CAD
01:17:19 • 5min
Learn how to dominate stable angina. Coronary artery disease with stable angina is a different beast than acute coronary syndrome. We deconstruct it’s pathophysiology, diagnosis, and management with Drs. Dan Ambinder and Rick Ferraro. Topics: When to order coronary CT vs Stress testing; An approach to non-obstructive coronary disease; What treatments are life prolonging; Medical therapy vs Stenting; An approach to antianginal therapy; and how to partner with each patient. Listen as we dive deep into the recent literature and recommendations to dominate stable angina.
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Credits
- Producer: Molly Heublein, MD
- Writer: Molly Heublein, MD, Michael Sternberg MD
- Show Notes: Molly Heublein, MD, Beth Garbitelli
- Infographic, Cover Art: Beth Garbitelli
- Hosts: Molly Heublein, MD; Paul Williams MD, FACP
- Editor: (written materials); Cyrus Askin MD, Clair Morgan of nodderly.com
- Guest: Daniel Ambinder, MD; Rick Ferraro, MD
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Show Segments
- Intro, disclaimer, guest bio
- Guest one-liner
- Picks of the Week*
- Case from Kashlak
- Definitions of stable angina, unstable angina
- INOCA
- Assessing risk
- Treatment - life prolonging vs symptom relief
- Diagnosis- stress testing vs anatomical studies
- Angioplasty/stenting- ISCHEMIA trial
- Take home points
- Outro