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Family Practice Vol. 18, No. 2, 217-222
© Oxford University Press 2001

Guidelines

Evidence-based guideline for the primary care management of stable angina

Martin Eccles, Nikki Rousseau, Phil Adams,a, Lois Thomas and for the North of England Stable Angina Guideline DevelopmentGroup

Centre for Health Services Research, University of Newcastle Upon Tyne, 21 Claremont Place, Newcastle Upon Tyne NE2 4AA and
a Royal Victoria Infirmary, Newcastle Upon Tyne, UK.

Professor Martin Eccles.

Eccles M, Rousseau N, Adams P and Thomas L for the North of England Stable Angina Guideline Development Group. Evidence-based guideline for the primary care management of stable angina. Family Practice 2001; 18: 217–222.

Received 19 April 2000; Accepted 30 October 2000.

Keywords. Angina, clinical guideline, ischaemic heart disease.


   Introduction
 
This is an updated version of the first North of England Stable Angina Guideline1,2 and summarizes the full guideline.3 This paper presents all the recommendations within the guideline; and where these are new or substantially altered from the original version, it also presents a summary of the supporting evidence.

The aims and methods of development (summarized in Box 1Go) of this guideline are unchanged from the original version, to which readers are directed for more detail. The research questions raised during the development of this guideline are shown in Box 2.Go


BOX1 The search strategy, categories of evidence and strength of recommendations

The search strategy and synthesizing the literature

We searched the electronic databases MEDLINE, EMBASE and the Cochrane Database of Reviews (1994–1997) using a combination of subject heading and free text terms aimed at locating systematic reviews, meta-analyses and randomized trials. The search was backed up . . . [Full Text of this Article]

 

   Initial assessment
 

   Precipitating factors
 

   Investigation of angina
 

   Resting 12-lead electrocardiogram (ECG)
 

   Exercise testing
 

   Risk factor modification
 
Assessing risk factors
Cholesterol
Blood pressure
Smoking and smoking cessation
Exercise
Weight reduction and dietary management

   Drug treatment
 
Regular symptomatic treatment

   Review of patients with stable angina
 

   Referral of patients
 

   Acknowledgments
 

   References
 

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