CSA = Chronic Stable Angina: characterized by substernal location, provoked by exertion or stress, and relived by rest or nitroglycerine.
FHR = Features of High Risk: pain lasting >20 minutes, age >65 years, ST and T wave changes, pulmonary edema, symptoms refractory to therapy.
CST-POS = Cardiac Stress Test POSitive: if moderate pretest probability for CAD and stable symptoms, then stress ECG testing.
CATH = Cardiac CATHeterization.
TRC = Treat Reversible Causes, eg, hypertension, hyperlipidemia (target LDL <100), CHF, anemia, hypoxemia, glucose control, drug side effect, thyroid disease. Goal Blood pressures:
NTG = Use nitroglycerine 0.4 mg SL q5 min × 3 prn (can use prophylactically).
LAN = Long Acting Nitrate preparations.
ASA = Aspirin (if no contraindications) 81 mg orally each day.
BB = Beta Blockers (atenolol, metoprolol) to reduce symptoms (caution in Printzmetal angina).
CCB = Calcium Channel Blockers (amlodipine, nifedipine) for coronary vasodilation (indicated for Printzmetal angina).
ACEI = Angiotensin Converting Enzyme Inhibitors = in patients with diabetes or LV systolic dysfunction, LVEF <40%.
DIET = DIET modification (reduced cholesterol, fat).
EXER = EXERcise program.