Study note
MedicineCardiology

Clinical assessment and severity grading of stable angina

THE CONTEXT
The clinical history is central to diagnosing angina, while symptom patterns and severity grading aid its assessment.

Diagnosis and symptom classification

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The history is the most important factor in making the diagnosis.
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Stable angina presentations are categorised as typical angina, atypical angina or non-anginal chest pain.
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Warm-up angina describes discomfort that occurs when walking begins but does not return later despite greater effort.

Severity and prognosis

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The Canadian Cardiovascular Society (CCS) scoring system* is commonly used to grade angina severity.
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This grading helps document severity and assess prognosis.
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