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June 2016 Br J Cardiol 2016;23:57–60 doi:10.5837/bjc.2016.019

The short- and long-term impact of psychotherapy in patients with chronic, refractory angina

Peysh A Patel, Murad Khan, Chia Yau, Simerjit Thapar, Sarah Taylor, Paul A Sainsbury 

Abstract

Introduction Angina results from myocardial ischaemia as a consequence of mismatch between supply and demand.1 Most cases are secondary to atherosclerotic disease of coronary arteries.2 Conventional therapy to manage such patients has relied on pharmacotherapy and revascularisation strategies. Pharmacological options routinely include aspirin, statin, rate-limiting therapy, such as beta blocker or calcium-channel antagonist, and vasodilators, such as isosorbide mononitrate and nicorandil. Revascularisation may be through percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).3 Chronic, refractory angina constitutes

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