Clinical Practice Guidelines-Management of Stable Angina Pectoris

Coronary artery disease (CAD) comprises a broad spectrum of manifestation rangingfrom asymptomatic atherosclerosis to stable angina pectoris (SAP), acute coronarysyndrome (ACS), myocardial infarction (MI) and congestive heart failure (CHF). Themanagement of SAP has not been extensively studied in large randomised clinicaltrials.In Malaysia, these patients may be managed by cardiologists, physicians and primarycare doctors. The CPG on Management of SAP was developed to help guide cliniciansin the management of this group of patients. No previous guideline was available inMalaysia prior to this.


These guidelines are intended to provide education and awareness on ways to:

1. Identify patients with stable angina.

2. Assess, risk stratify and manage these patients appropriately.

Clinical Questions

The clinical questions addressed in these guidelines include: 

1. How does one diagnose a patient with SAP and exclude patient with unstableangina?

2. Having identified patients with SAP, what appropriate tests should be done fordiagnosis and prognostication?

3. Which patients should be referred for invasive procedures?

4. What appropriate treatment modalities, either non-pharmacological and/orpharmacological to be utilised?

Target Group

This guideline is directed at all healthcare providers treating SAP – generalpractitioners, medical officers, general and family physicians and cardiologists.

Target Population

This guideline is for the management of patients with Stable Angina Pectoris. Itexcludes patients with new-onset angina, crescendo angina and rest angina.

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