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Angina - stable - Management
How should I manage the person's cardiovascular risk?

All people with angina are assumed to be at high risk for cardiovascular events, and their cardiovascular risk factors should be managed accordingly.

  • Optimize the management of comorbid conditions that give an increased risk of cardiovascular events (such as hypertension, diabetes mellitus, and hyperlipidaemia).
  • Advise and assist all people who smoke to stop (see the CKS topic on Smoking cessation).
  • Encourage people to eat a cardioprotective diet (see the section on Cardioprotective diet in the CKS topic on CVD risk assessment and management).
  • Offer advice and support, to achieve and maintain a healthy weight, to people who are overweight or obese (see the CKS topic on Obesity).
  • Encourage people to increase their physical activity levels within the limits set by their symptoms. For a detailed discussion on recommended levels of physical activity for cardiovascular protection, see the section on Physical activity in the CKS topic on CVD risk assessment and management.
  • Encourage people to limit their alcohol consumption.
    • Advise men to limit their alcohol intake to 3–4 units a day, with at most 21 units a week.
    • Advise women to limit their alcohol intake to 2–3 units a day, with at most 14 units a week.
    • For more information, see the CKS topic on Alcohol - problem drinking.

In depth

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