Modern strategy of treating patients with coronary artery disease: complementarity principle in therapy and new ideas about its role and components

The article discusses modern ideas about the role of mechanical revascularization and anti-ischemic therapy in the treatment of patients with stable coronary heart disease (CAD). Modern data on the comparative effectiveness of anti-ischemic drugs are presented, which became the basis for the development of “diamond approach” in the treatment of stable CAD. It is proposed instead of standard tactics using a hierarchical approach to the choice of anti-ischemic drugs. The features of the anti-ischemic drugs use in certain clinical situations, in patients with the most common comorbidities or complications of CAD, as well as in CAD variants, in the development of which specific pathophysiological elements play a role, are considered.