1. The department of internal medicine, clinical pharmacology
and occupational diseases, BSMU, Chernivtsi
The treatment of IHD
Eugene I. Shorikov, associate prof., PhD

2. Pharmacological modification of the major
determinants of myocardial O2 supply

3. The clinical presentations of
ischaemic heart disease
• silent ischaemia
• stable angina pectoris
• unstable angina
• myocardial infarction(MI)
• heart failure
• sudden death.

4. AIMS of treatment of angina
• To improve prognosis by preventing MI
and sudden death
• To minimize or abolish symptoms

11. Indication For Revascularization

13. Acute coronary syndrome
• Patients with chest pain represent a very large
proportionof all acute medical hospitalizations.
• The leading symptom that initiates the
diagnostic and therapeutic cascade is chest
pain, but the classification of patients is based
on the electrocardiogram (ECG).

14. Acute coronary syndrome
• Two categories of patients may be encountered:

15. Acute coronary syndrome

16. Acute coronary syndrome

17. Acute coronary syndrome

25. Long-term management of ACS
Patients with NSTE-ACS after the initial phase carry a high risk of
recurrence of ischaemic events. Therefore, active secondary prevention is
an essential element of long-term management

26. Long-term management of ACS

27. Conclusion on management ACS

28. Thank You