Diagnosis and Treatment of Stable Angina: A Modern Personalized Paradigm
Z. A. Kambachokova,
A. M. Akhmadova,
D. R. Dzhemakulova,
A. Z. Kashirokov,
T. I. Miziev,
M. M. Mamikova,
A. R. Mamieva,
K. I. Sozaeva,
A. M. Sibilova,
A. A.-A. Chotchaeva,
S. Kh. Etteeva,
K. L. Chechenova,
A. A. Tengizova,
A. R. Edgulova https://doi.org/10.37489/0235-2990-2026-71-3-4-97-100
EDN: PAWIRV
Abstract
In modern clinical practice, stable angina is considered as part of the spectrum of chronic coronary syndromes, in which ischemic symptoms can be caused not only by epicardial atherosclerotic obstruction, but also by microvascular dysfunction or a vasospastic mechanism. The aim of this review was to systematize current data on the diagnosis and treatment of stable angina, focusing on ischemic mechanisms, the choice of instrumental methods, as well as the rationale for treatment strategies. Analysis of the available sources shows that a significant proportion of patients experience persistent anginal symptoms in the absence of hemodynamically significant stenosis, and the most informative tools for clarifying the ischemic mechanism are FFR/iFR, PET stress test, and coronary CT angiography. Optimal drug therapy remains the basis of treatment, while revascularization is indicated only when the functional significance of the lesion is proven. For refractory angina, spinal stimulation may be considered in specialized centres.
About the Authors
Z. A. Kambachokova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Zareta A. Kambachokova — D. Sc. in Medicine, Professor at the Department of Hospital Therapy, Medical Academy
Nalchik
A. M. Akhmadova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Amira M. Akhmadova — 6th-year student majoring in General Medicine
Nalchik
D. R. Dzhemakulova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Diana R. Dzhemakulova — graduate
Nalchik
A. Z. Kashirokov
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Adam Z. Kashirokov — 6th-year student majoring in General Medicine
Nalchik
T. I. Miziev
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Temirlan I. Miziev — 6th-year student majoring in General Medicine
Nalchik
M. M. Mamikova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Amina R. Mamieva — 6th-year student majoring in General Medicine
Nalchik
A. R. Mamieva
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Maryat M. Mamikova — 6th-year student majoring in General Medicine
Nalchik
K. I. Sozaeva
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Karina I. Sozaeva — 6th-year student majoring in General Medicine
Nalchik
A. M. Sibilova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Alina M. Sibilova — 6th-year student majoring in General Medicine
Nalchik
A. A.-A. Chotchaeva
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Anisat A.-A. Chotchaeva — graduate of the Medical Academy
Nalchik
S. Kh. Etteeva
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Salima Kh. Etteeva — 6th-year student majoring in General Medicine
Nalchik
K. L. Chechenova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Karina L. Chechenova — graduate of the Medical Academy
Nalchik
A. A. Tengizova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Alina A. Tengizova — 6th-year student majoring in General Medicine
Nalchik
A. R. Edgulova
Kabardino-Balkarian State University named after H. M. Berbekov
Russian Federation
Russian Federation
Amina R. Edgulova — 6th-year student majoring in Pediatrics at the Faculty of Medicine
Nalchik
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Review
For citations:
Kambachokova ZA, Akhmadova AM, Dzhemakulova DR, Kashirokov AZ, Miziev TI, Mamikova MM, Mamieva AR, Sozaeva KI, Sibilova AM, Chotchaeva AA, Etteeva SK, Chechenova KL, Tengizova AA, Edgulova AR. Diagnosis and Treatment of Stable Angina: A Modern Personalized Paradigm. Antibiotiki i Khimioterapiya = Antibiotics and Chemotherapy. 2026;71(3-4):97-100. (In Russ.) https://doi.org/10.37489/0235-2990-2026-71-3-4-97-100. EDN: PAWIRV
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