Stable coronary heart disease

Abstract

The article reviews the pathogenetic mechanisms of the development of coronary heart disease, its classification and methods of diagnostic. Determination of physical exercise tolerance based on the results of stress tests allows to evaluate the functional class of angina. The degree of individual risk can vary considerably, so the definition of individual prognosis is very important in the management strategy for patients with stable coronary heart disease. This allows to identify patients with a more severe form of the disease, who needs not only a permanent aggressive drug therapy, but also revascularization procedures.Risk stratification in patients with stable coronary heart disease is aimed at identifying patients at high risk of severe cardiovascular events (one-year death risk of more than 3%) in whom myocardial revascularization can improve the prognosis.ESC Recommendations (2013) on the treatment and management of patients with stable coronary heart disease are reviewed.