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Implications and Challenges Using Practice Guidelines for Chronic Angina

E. Magnus Ohman, MD; and Eric Peterson, MD
[+] Article, Author, and Disclosure Information

Dr. Ohman: University of North Carolina at Chapel Hill; Chapel Hill, NC 27599-7075 Dr. Peterson: Duke Clinical Research Institute; Durham, NC 27705

Requests for Single Reprints: E. Magnus Ohman, MD, Division of Cardiology, CB 7075, Burnett-Womack Building, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7075; e-mail, mohman@med.unc.edu.

Current Author Addresses: Dr. Ohmar: Division of Cardiology, CB 7075, Burnett-Womack Building, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7075.

Dr. Peterson: Duke Clinical Research Institute, 2400 Pratt Street, Seventh Floor, Durham, NC 27705.

Ann Intern Med. 2001;135(7):527-529. doi:10.7326/0003-4819-135-7-200110020-00013
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Since 1980, the American College of Cardiology (ACC) and the American Heart Association (AHA) have jointly produced guidelines for the management of cardiovascular diseases. There are now approximately 25 such guidelines that define acceptable approaches to diagnosis and management of patients with heart disease. These guidelines are intended to assist physicians in defining the optimal range of practices for most patients with a given condition. It is also recognized that the ultimate judgment in patient care rests with the individual physician weighing the circumstances for an individual patient. Nevertheless, guidelines have become increasingly important because significant gaps between public health goals and actual achievements in health care delivery have been identified (12).

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