Management of stable angina in men (Literature review)

Abstract

The classical description of Stable Angina, which is valid and today, has been made for the first time by William Beberdeb in 1772. His article about almost 20 patients called “Some considerations about chest diseases”. He made a very detailed and excellent description, since the Stable Angina is called up today Heberden’s angina [1, 5]. He described very clear its precipitation to the effort and emotions. Hunter died suddenly, in 1793, at the age of 65, and at the autopsy made by his disciple Edward Jenner it was found the intense coronary artery ossification. These findings allowed the determination of a relation between Stable Angina and coronary disease [8, 9]. Then, in 1799, the scientist Parry linked the Stable Angina problem with the poor blood flow with the obstruction of the coronary arteries, and in 1809 the well-known scientist Bums said that Stable Angina develops because “offer of energy and exhaustion are not balanced”. This important conception remains valid up today [5]. In 1933, the famous Britain cardiologist Sir Thomas Lewis launched the concept that ischemia includes not only changes in the structure of coronary arteries, but and in and their tonicity, therefore a supply deficit may be caused by inadequate coronary tone and the deficit can cup by vasodilation [7, 9]. These methods remain today of major importance in the diagnosis of Stable Angina, very informative, accessible and safe at the same time [6, 7]. An important step in the diagnosis of the Stable Angina was innovation in technique viewing of coronary arteries. Selective coronary angiography was introduced by MasonSones in 1959 in the United States. He relied on the works of German doctor Werner Forssmann, who in 1929 tried this method by himself by inserting a catheter through the cubital vein to the right atrium. Later he and is honored with the Nobel Prize for developing the method of the human body probing.