Síndrome coronario cronico: tratamiento

Treatment of chronic coronary syndrome (CCS) is broad and challenging.The main objectives are: 1-Strict control of cardiovascular risk factors (CVRF), 2-Prevention of major adverse cardiovascular events (MACE), 3-Anginal symptoms relief and 4-Culprit vessel revascularization, when feasible, which will be addressed in the next chapter of this supplement. I-Cardiovascular Risk Factors Control and Healthy Lifestyle PromotionIt is essential to educate and promote a healthy diet, and to perform physical activity of at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity per week.In the presence of depression and/or anxiety, management with both psychological and pharmacological support is recommended, since these psychological conditions increase cardiovascular (CV) risk and deteriorate quality of life 1 .Referral to a cardiac rehabilitation program is ideal.Treatment of a patient with CCS should include considerations for smoking cessation.Studies indicate a 39% reduction in the risk of CV death among individuals who quit smoking compared to those who continue smoking 2 .Thus, it is advisable to offer psychological support and treatment options such as bupropion, varenicline, and/or gradual nicotine su-