The ACP concludes that there is no single best way to manage SIHD. Doctors and patients should consider patient preferences and personal situation when deciding on treatment for SIHD. The ACP offers 48 recommendations about when to consider specific treatments for patients with SIHD. The recommended treatment strategy starts with patient education about ways to reduce risk with healthy diet, exercise, avoidance of smoking, and weight control. In addition, medications should be used to control blood pressure, cholesterol levels, and diabetes. Influenza vaccination and drugs, such as aspirin, beta-blockers, angiotensin-converting enzyme inhibitors, and angiotensin-receptor blockers, can help to prevent heart attack or death. Other medications, such as nitroglycerin, can help to control symptoms. Certain patients may benefit from stenting or surgery to restore blood flow.