In the USA, it is estimated that there are more than 13 million people with coronary artery disease (CAD). Beyond a thorough history and physical, there are several diagnostic tests used to detect CAD. If indicated, medications with different mechanistic behaviors are used to prevent cardiac injury and provide symptomatic relief. In addition to medical therapy, revascularization plays a significant function in treatment. The roles of coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI) have evolved over the past several decades. The decision to pursue revascularization and the type of procedure to perform depends on the amount of ischemic burden. Additionally, if a patient continues to have symptoms despite optimal medical therapy, revascularization should be considered. Finally, exercise is a key component in treating CAD. Every patient should be instructed to perform exercise training to supplement medical therapy and revascularization procedures for optimal treatment.
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