Download - Angina Estable NICE
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 1/27
Ibecbi gz}ifag Ewäi BCJG vg~czcúb owacl 6;99
BCJG jacbcjia ewcmgacbg 96>
]vimwjcml s imi{}iml {lv?Mv" M" Iafgv}l D Dévywg Aú{g8 V6 DNsJ JZ Zib Ngac{gMv" M" Njl O mga Jiz}caal ]cviml V6 DNsJ JZ ^cvegb mg ai Ji{caai
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 2/27
Zwdivcl9" Cb}vlmwjjcúb
6" G{cmgdclaleäi
:" I{acjifcacmim
=" [vclvcmimgz
7" Cbnlvdijcúb s i{lsl i {gvzlbiz jlb ibecbi gz}ifag
]vi}idcgb}l ib}cibecblzl? vgjldgbmijclbgz egbgviagz
>" ]vi}idcgb}l ib}cibecblzl? iaelvc}dl
5" [vg~gbjcúb zgjwbmivci
0" Mciebúz}cjl s vg~izjwaivcijcúb
3" Ywã bl ̀ ijgv
9;" Ibecbi gz}ifag vgnvij}ivci
99" Zäbmvldg jivmcijl P
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 3/27
Cb}vlmwjjcúb
Ai ibecbi gz}ifag gz?… Mlalv l zgbzijcúb l{vgzc~i! mg aljiacijcúb
nvgjwgb}gdgb}g {vgjlvmcia… Jiwziml {lv vgz}vcjjcúb mga nawol mg zibevg s lpäegbl ia
dÿzjwal jivmcijl… Ywg ljwvvg mwvib}g ga gogvjcjcl näzcjl l ga z}vgzz
gdljclbia… Wbi jlbmcjcúb dãmcji jvúbcji izljcimi i dislv
cbjcmgbjci mg g~gb}lz jlvlbivclz iewmlz g cbjvgdgb}l
mg ai dlv}iacmim"Ga dibgol zg lvcgb}i i?… Zw{vcdcv l dcbcdciv ai zcb}ldi}laleäi… Dgolv ai jiacmim mg ~cmi! ai dlvfcacmim i aivel {ail s ai
dlv}iacmim"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 4/27
G{cmgdclaleäi
… Iavgmgmlv mga 0' mg `ldfvgz s ga :' mg dwogvgzgb}vg 77 s >= iùlz }cgbgb ij}wiadgb}g ibecbi l ai `ib}gbcml
… Aiz jcnviz {ivi `ldfvgz s dwogvgz mg gb}vg >7 s 5=
iùlz gz}éb vgz{gj}c~idgb}g iavgmgmlv mga 9=' s ga 0'"
… Ai {vg~iagbjci mg ibecbi gb ai {lfaijcúb gz{iùlai mg=7 i 5= iùlz nwg mga 5!7' gb 9333 (ga 5!:' mg alz
~ivlbgz s ga 5!5' mg aiz dwogvgz# (Jlzäb O! Izäb G! Divvwei} O! Galzwi V! Ivúz N! Mg alz Vgsgz D! g} ia" [vg~iagbjg ln ibecbi {gj}lvcz cb Z{icb" Gwv O G{cmgdcla"9333897?:6:$:;"#
… Ai ibecbi }cgbg wb cd{ij}l zcebcncji}c~l gb ai jiacmim
mg ~cmi
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 5/27
I{acjifcacmim
Aiz vgjldgbmijclbgz mg gz}i ewäi zg i{acjib zúal iimwa}lz ywg `ib zcml mcieblz}cjimlz mg ibecbi gz}ifag
mgfcml i gbngvdgmim i}gvlgzjagvú}cji"
Evw{lz bl cbjawämlz?… mgfw} vgjcgb}g mg mlalv }lvéjcjl l mczjldnlv}… zäbmvldg jlvlbivcl iewml… mlalv ibecblzl {vlfifagdgb}g mgfcml i gbngvdgmimbl jivmciji l izljcimi i l}vlz }c{lz mg gbngvdgmimjivmciji
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 6/27
[vclvcmimgz
…Cbnlvdijcúb s i{lsl i {gvzlbiz jlb ibecbi gz}ifag
…]vi}idcgb}l nivdijlaúecjl ib}cibecblzl
…Cb~gz}ceijcúb s vg~izjwaivcijcúb
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 7/27
Gp{alviv s lvcgb}iv {vlfagdiz mg ijwgvml jlb aizbjgzcmimgz mga {ijcgb}g! al ywg {wgmg cbjawcv?
… @ifcacmimgz mg iw}l$dibgol jldl egz}cúb mgij}c~cmimgz s lfog}c~lz
… ]ldi mg jlbjcgbjci zlfvg ga cd{ij}l mga z}vgzz! ai
ibzcgmim l ai mg{vgzcúb gb ai ibecbi… Jlbzgolz zlfvg gogvjcjcl näzcjl! cbjawsgbml ij}c~cmim
zgpwia
Cbnlvdijcúb s i{lsl i {gvzlbizjlb ibecbi gz}ifag
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 8/27
… Lnvgjgv ia {ijcgb}g }vi}idcgb}lnivdijlaúecjl ú{}cdl {ivi ga dibgolcbcjcia mg ai ibecbi gz}ifag
… Ga }vi}idcgb}l ib}cibecblzl ú{}cdlcbjawsg?
$ wbl l mlz névdijlz ib}cibecblzlz!zgeÿb zgi bgjgzivcl8
déz $ névdijlz {ivi ai {vg~gbjcúb
zgjwbmivci mg ai gbngvdgmimjivmcl~izjwaiv"
]vi}idcgb}l ib}cibecblzl?
vgjldgbmijclbgz egbgviagz
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 9/27
]vi}idcgb}l ib}cibecblzl?iaelvc}dl
Lnvgjgv Ü$falywgib}g l jiajcl ib}ielbcz}ijldl {vcdgvi aäbgi gb ibecbi gz}ifag
Bl?… lnvgjgv wb }gjgv névdijl jwibml ai ibecbi gz}ifag gz}é jlb}vlaimi jlb mlz…
lnvgjgv vw}cbivcidgb}g ib}cibecblzlz ywg bl zgi Ü$falywgib}gz l jiajcl ib}ielbcz}izjldl }vi}idcgb}l mg {vcdgvi aäbgi
Jlbzcmgviv jidfciv i ail}vi l{jcúb
Jlbzcmgviv jidfciv i ail}vi l{jcúb l jldfcbiv
idfiz
Ü$falywgib}g l jiajcl ib}ielbcz}i bl }lagviml
Zäb}ldiz bl zi}cznij}lvcidgb}g jlb}vlaimlz
Zäb}ldiz bl jlb}vlaimlz zi}cznij}lvcidgb}g
jlb mlz névdijlz ib}cibecblzlz s ga {ijcgb}ggz}é gz{gvibml i ai vg~izjwaivcijcúb l ãz}igz}é jlb}vicbmcjimi
Jlbzcmgviv ai imcjcúb mgwb }gvjgv névdijl
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 10/27
Zc alz zäb}ldiz bl zg jlb}vlaib zi}cznij}lvcidgb}g jlbfg}i falywgib}g l jiajcl$ibi}ielbcz}i l idflz gz}éb
jlb}vicbmcjimlz jlbzcmgviv iùimcv?$ Bc}vi}l mg ijjcúb {vlalbeimi (mcbc}vi}l mgczlzlvfcmi#
$ fg}i$falywgib}gz gb mcznwbjcúb ~gb}vcjwaiv(^gvi{idcal l mca}cigd jlb}vicbmcjimlz#
$ C~ifvimcbi (zc zg jldfcbi jlb jiajcl ib}ielbcz}i zgmgfg wziv ib}ielbcz}iz mga jiajcl mc`cmvl{cvcmäbcjlz ‚ bcngmc{cbl! idalmc{cbl#
$ Bcjlvibmca
$ ViblaicbiMgjcmcv ga dgolv névdijl fiziml gb jldlvfcacmimgz!jlb}vicbmcjijclbgz! {vgngvgbjciz s jlz}gz
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 11/27
Bc}vi}lz mg ijjcúb jlv}i {ivi ai
{vg~gbjcúb s ga }vi}idcgb}lLvcgb}iv zlfvg?
$ Nlvdi mg imdcbcz}vijcúb$ Wzl cbdgmci}l ib}gz mg gogvjcjcl {aibcncjiml l
gznwgvl
$ Gngj}lz im~gvzlz jldl jgniagi! divgl l vwflv
$ Vg{g}cjcúb mg ai mlzcz }viz 7 dcbw}lz zc ga mlalv bl `ivgdc}cml
$ Jlb}ij}iv jlb zgv~cjclz mg gdgvegbjci zc ga mlalv bl`i vgdc}cml }viz 7 dcbw}lz mg ai zgewbmi mlzcz
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 12/27
[vg~gbjcúb zgjwbmivci
… Éjcml ijg}caziacjäacjl 57 de,mäi" ]gbgv gb jwgb}i gavcgzel mg zibeviml s jldlvcfcacmimgz
… CGJIz gb mcifã}cjlz! `c{gv}gbzlz
… Gz}i}cbiz zgeÿb {gvnca ac{ämcjl mga {ijcgb}g
… L}vlz }vi}idcgb}lz ib}c`c{gv}gbzc~lz"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 13/27
… Jlbzcmgviv IJ][ l jcvweäi"
… Lnvgjgv ibeclevinäi jlvlbivci {ivi ewciv ai gz}vi}geci}gvi{ãw}cji8 l}viz {vwgfiz jld{agdgb}ivciz
… Jwibml jwiaywcgvi mg alz {vljgmcdcgb}lz zgi i{vl{ciml!
gp{acjiv alz vcgzelz s fgbgncjclz mg idflz {ivi {gvzlbizjlb gbngvdgmim ibi}údcjidgb}g dgblz jld{agoi" Zc bl`is {vgngvgbjci! jlbzcmgviv ai g~cmgbjci ywg gpcz}g {ivi aiIJ][ jldl ga {vljgmcdcgb}l mg dislv jlz}g$gngj}c~mim"
Mciebúz}cjl svg~izjwaivcijcúb (9#
Jwibml alz zäb}ldiz bl zg jlb}vlaibzi}cznij}lvcidgb}g jlb }vi}idcgb}l dãmcjl ú{}cdl?
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 14/27
Jwibml jwiaywcgvi mg alz {vljgmcdcgb}l zgi i{vl{ciml!}gbgv gb jwgb}i ai ~gb}ioi mg zw{gv~c~gbjci {l}gbjcia mg aijcvweäi zlfvg ga ji}g}gvczdl gb {ijcgb}gz jlb gbngvdgmimdwa}c~izl ywg imgdéz?
‚
}cgbgb mcifg}gz l ‚ }cgbgb déz mg >7 iùlz l ‚ }cgbgb gbngvdgmim mg }vgz ~izlz ibi}údcjidgb}g
jld{agoi! jlb l zcb jld{vldczl mga }vlbjl cywcgvml
Mciebúz}cjl svg~izjwaivcijcúb (6#
Jwibml alz zäb}ldiz bl zg jlb}vlaibzi}cznij}lvcidgb}g jlb }vi}idcgb}l dãmcjl ú{}cdl?
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 15/27
Jlbzcmgviv alz vcgzelz s fgbgncjclz vgai}c~lz mgaji}g}gvczdl s ai jcvweäi wzibml wb iflvmiogzcz}gdé}cjl {ivi gz}ifagjgv ai zg~gvcmim s aijld{agocmim mg ai gbngvdgmim jlvlbivci! imgdéz
mg nij}lvgz jaäbcjlz vgag~ib}gz s jldlvfcacmimgz"
Mciebúz}cjl svg~izjwaivcijcúb (:#
Jwibml alz zäb}ldiz bl zg jlb}vlaibzi}cznij}lvcidgb}g jlb }vi}idcgb}l dãmcjl ú{}cdl?
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 16/27
Izgewviv wb gywc{l dwa}cmczjc{acbiv (jcvwoibl jivmcijl sjivmcúalel cb}gv~gbjclbcz}i# {ivi mczjw}cv jimi jizl gb?
… [ijcgb}gz jlb ingj}ijcúb mg }vlbjl cywcgvml l gbngvdgmim mg}vgz ~izlz ibi}údcjidgb}g jld{agoi
…
[ijcgb}gz gb al ywg `is mwmi zlfvg ga dgolv dã}lml mgvg~izjwaivcijcúb {lv ai jld{agocmim mg ai ibi}ldäi jlvlbivci!iwdgb}l mg z}gb} vgywgvcml w l}vlz nij}lvgz jaäbcjlz vgag~ib}gz sjldlvfcacmimgz"
Mciebúz}cjl svg~izjwaivcijcúb (=#
Jwibml alz zäb}ldiz bl zg jlb}vlaibzi}cznij}lvcidgb}g jlb }vi}idcgb}l dãmcjl ú{}cdl?
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 17/27
… Zc ai vg~izjwaivcijcúb gz i{vl{cimi! gp{acjiv ia {ijcgb}g?
$ ywg ga lfog}c~l {vcbjc{ia mg ai vg~izjwaivcijcúb gz gajlb}vla mg zäb}ldiz mg ai ibecbi gz}ifag
$ alz vcgzelz s fgbgncjclz mg idflz {vjgmcdcgb}lz$ Bwg~i vg~izjwaivcijcúb déz {vlfifag zc IJ][$ Cbjcmgbjci mg vgcbniv}l zcdcaiv gb aiz 6 }ãjbcjiz$ Jcvweäi acegvidgb}g dgolv gb gbngvdgmim dwa}c~izl$ Cbnlvdiv mg alz iz{gj}lz {véj}cjlz mg aiz
cb}gv~gbjclbgz? ~gbi l iv}gvci wzimi! vgjw{gvijcúb{lz}gvclv! }vi}idcgb}l dãmcjl"
Mciebúz}cjl svg~izjwaivcijcúb (7#
Jwibml alz zäb}ldiz bl zg jlb}vlaibzi}cznij}lvcidgb}g jlb }vi}idcgb}l dãmcjl ú{}cdl?
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 18/27
Mciebúz}cjl svg~izjwaivcijcúb (>#
Jwibml alz zäb}ldiz zg jlb}vlaib zi}cznij}lvcidgb}gjlb }vi}idcgb}l dãmcjl ú{}cdl?
…Mczjw}cv jlb alz {ijcgb}gz? ‚ [vlbúz}cjl zcb cb~gz}ceijcúb {lz}gvclv" ‚ [vlfifcacmim mg gbngvdgmim mg }vgz ~izlz l mg}vlbjl dislv cywcgvml" ‚ [lzcfcacmim mg JFIE mg dgolviv {vlbúz}cjl" ‚ ]ãjbcji s vcgzel mg vgiaciv ‚ Fgbgncjclz! cbjawsgbml zw{gv~c~gbjci {l}gbjcia"
…Jlbzcmgviv ibeclevinäi jlvlbivci jwibml? ‚ [vwgfiz nwbjclbiagz l bl cb~izc~iz cbmcywgbgbngvdgmim mg }vgz ~izlz l mg }vlbjl dislvcywcgvml" ‚ [lzcfcacmim g cbmcjijcúb vg~izjwaivcijcúb"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 19/27
Mciebúz}cjl svg~izjwaivcijcúb
Jwibml alz zäb}ldiz zg jlb}vlaib zi}cznij}lvcidgb}gjlb }vi}idcgb}l dãmcjl ú{}cdl?
Mczjw}cv {vlbúz}cjl! {vlfifcacmim mg }gbgv gbngvdgmim mg }vgz ~izlz {vlpcdia lmg }vlbjl {vcbjc{ia cywcgvml! ga {vljgzl s vcgzelz mg aiz {lzcfcacmimgz
mciebúz}cjiz! ga vcgzel ywcvÿvecjl gb zw jizl s jld{lvlfiv ijwgvml mga {ijcgb}g
Jlbzcmgviv wbi {vwgfi nwbjclbia l bl cb~izc~i {ivi cmgb}cncjiv {ijcgb}gz ywg{wgmgb lf}gbgv fgbgncjcl mg ai jcvweäi gb }ãvdcblz mg zw{gv~c~gbjci
Alz vgzwa}imlz cbmcjib czywgdci gp}gbzi l {vlfifcacmim mg }gbgv gbngvdgmim mg}vgz ~izlz {vlpcdia l mg }vlbjl {vcbjc{ia cywcgvml
Jcvweäi zc }gbgv gbngvdgmim mg }vgz ~izlz {vlpcdia l mg }vlbjl {vcbjc{iacywcgvml
¼Vg~izjwaivcijcúb ijg{}ifag<
Ai vgz{wgz}i i jimijwimvl mgfg zgv ZÄ {ivi
zgewcv
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 20/27
Gpjawcv {ijcgb}gz fizébmlblz gb zw gmim
p cb~gz}ceiv l }vi}iv zäb}ldiz mg dibgvi mcngvgb}g gb
`ldfvgz s dwogvgz l gb evw{lz ã}bcjlz mcngvgb}gzp lnvgjgv ~c}idcbiz l zw{agdgb}lz }c{l ldgei$:
p lnvgjgv ]GBZ ‚gz}cdwaijcúb gaãj}vcji {gvjw}ébgi mgabgv~c $! fldfi mg jlb}vi{wazijcúb l ijw{wb}wvi
Ywã bl `ijgv…
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 21/27
Ibecbi gz}ifag ywg bl
vgz{lbmg i }vi}idcgb}l[vgewb}iv zc ga {ijcgb}g jld{vgbmg ai zc}wijcúb
Jlb}gd{aiv cd{ij}l zcb}ldé}cjl gb IF^
Vg~cziv mciebúz}cjl s jlbzcmgviv jiwziz bl czywãdcjizmg mlalv"
Vg~cziv }vi}idcgb}l nivdijlaúecjl s jlb}gd{aiv{lzcfcacmimgz mg }vi}idcgb}l dãmcjl s vg~izjwaivcijcúb
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 22/27
Vgjlbljgv aiz acdc}ijclbgz mg }vi}idcgb}l nw}wvl"
Gp{acjiv júdl ai {gvzlbi {wgmg dibgoiv ga mlalv
I}gbjcúb gz{gjäncji mg nij}lvgz {zcjlaúecjlz"
Mgzivvlaaiv `ifcacmimgz {ivi dlmcncjiv jld{lv}idcgb}lzizljcimlz i mlalv"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 23/27
Zäbmvldg jivmäijl P
[gvzlbiz jlb ibeclevinäi blvdia jlb zäb}ldizibecblzlz {gvzcz}gb}gz
Jlb}cbwiv }vi}idcgb}l nivdijlaúecjl zúal zc dgolvizcb}ldé}cjidgb}g gb gz}g {ijcgb}g"
Bl lnvgjgv névdijlz mg {vg~gbjcúb zgjwbmivci mg nlvdivw}cbivci"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 24/27
Jlbjawzclbgz?
Mg {vcdgvi gagjjcúb? fg}i$falywgib}gz l jiajcl$ib}ielbcz}iz! mg{gbmcgbml mg jldlvfcacmimgz?
… Zc bl dgolvib jlb ga ywg gacoidlz! jlbzcmgvivjidfciv ia l}vl l izljciv idflz"
Miv bc}vi}lz mg ijjcúb jlv}i i }lmlz alz {ijcgb}gz"
Alz bc}vi}lz mg aivei mwvijcúb! cfvi~imcbi s zcdcaivgz zgvgzgv~ib jldl névdijlz mg zgewbmi aäbgi
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 25/27
Ywã bl mgfgdlz `ijgv?
Gpjawcv {ijcgb}gz mga }vi}idcgb}l {lv zw gmim
]vi}iv {ijcgb}gz {lv zw eãbgvl l evw{l ã}bcjl
Lnvgjgv ~c}idcbiz l ijgc}g mg {gzjiml
]vi}iv jlb ]GBZ l ijw{wb}wvi ga mlalv"
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 26/27
Fcfaclevinäi?
Ewäi BCJG 6;9; s ij}wiacijclbgz 6;99 {ivi ga dibgolIbecbi Gz}ifag"
Ewäiz Zljcgmim Gz{iùlai mg Jivmclaleäi {ivi gadibgol mg ai Ibecbi Gz}ifag"
uuu"uchc{gmci"lve
5/11/2018 Angina Estable NICE - slidepdf.com
http://slidepdf.com/reader/full/angina-estable-nice 27/27
©Evijciz)