What is the primary goal when treating chronic stable angina?

The primary goal when treating chronic stable angina is to prevent myocardial ischemia. Myocardial ischemia occurs when the heart muscle does not receive enough blood and oxygen, leading to chest pain and discomfort. Effective management of chronic stable angina focuses on reducing the frequency and severity of angina episodes, which is directly related to preventing ischemia.

Strategies to achieve this may include the use of medications, lifestyle changes, and sometimes surgical interventions. Medications like nitrates, beta-blockers, and calcium channel blockers are commonly prescribed to help dilate blood vessels, reduce heart workload, and improve oxygen supply to the heart. By prioritizing the prevention of myocardial ischemia, the overall health and quality of life of the patient can be improved, as they can engage in daily activities with minimal angina symptoms.

While managing co-existing conditions, reducing heart rate, and increasing exercise tolerance are important aspects of comprehensive care, they serve as supportive measures rather than the primary objective. Each of these factors can contribute to the overall management plan, but they ultimately align with the goal of preventing ischemic episodes.