Patient discussions

Patients with UA should be targeted for aggressive lifestyle and risk-factor modification.

They may return to their usual activities, but are often advised to avoid strenuous exercise until noninvasive risk stratification (using either exercise or pharmacologic stress, and echo or nuclear imaging modalities) is performed in the outpatient setting.

Smoking cessation should be emphasized and aggressive interventions including support groups and pharmacologic (nicotine and non-nicotine-containing) products are recommended. Similarly, diet and lipid-lowering therapy should be pursued.[1][2][159]​ Patients should be informed that blood pressure and diabetes management must be tightly controlled as appropriate.

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