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Drug therapy should come before surgery for people with stable angina says NICE

NICE has published its clinical guideline on the management of stable angina.

The guideline, which has been jointly developed by the National Clinical Guideline Centre for Acute and Chronic Conditions (NCGCACC), sets out recommendations on what treatment and care the NHS should offer to people with a diagnosis of stable angina, including the use of anti-anginal drug treatment and surgery.

Stable angina is a chronic medical condition with a low but appreciable incidence of acute coronary events and increased mortality. The aim of management, which includes lifestyle advice, drug treatment and revascularisation (interventions to clear blocked arteries using minimally invasive or surgical techniques), is to stop or minimise symptoms, and to improve quality of life and long-term morbidity and mortality.