Geoffrey A. Modest, MD
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Modest GA. Guidelines for the Management of Patients with Chronic Stable Angina. Ann Intern Med. 2002;137:548-549. doi: 10.7326/0003-4819-137-6-200209170-00028
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Published: Ann Intern Med. 2002;137(6):548-549.
TO THE EDITOR:
The guidelines for management of patients with chronic stable angina (1) represent an update from leading cardiology associations. Overall, the publication of these types of guidelines is useful for developing uniformity of practice when there is clear consensus due to high-quality, evidence-based clinical studies. The current applicability of such evidence, however, is often questioned. In particular, in these guidelines, the recommendations for revascularization in patients with left main, three-vessel disease, or two-vessel disease with involvement of the proximal left anterior descending artery are considered class I (evidence that treatment is useful) and grade A (high-quality data based on multiple randomized clinical trials). The supporting data, however, are too old to allow these recommendations to be uncritically adopted.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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