Angina Pectoris and Homoeopathy
Abstract
Angina pectoris is defined as substernal chest pain, pressure, or discomfort that is typically exacerbated by exertion and/or emotional stress, lasts greater than 30 to 60 seconds, and is relieved by rest and nitroglycerin1. Clinical randomized trials have shown that an invasive strategy of coronary revascularization (except acute STEMI) and after excluding patients who had significant CAD (> 50% left main narrowing or proximal 3 vessel disease), is not superior to optimal medical therapy. None of the antianginal drugs (with the possible exception of nicorandil) have been proven to reduce cardiovascular mortality or myocardial infarction, despite the fact that they are equally effective in treating symptoms. an expert consensus document has been recently published with the proposition of an individualized approach to angina treatment, which take into consideration the patients with or without their comorbidities and the underlying mechanism of disease.