SIGN 151: Management of stable angina

The SIGN guideline on stable angina will be published on 18 April 2018

This guideline updates SIGN guideline 96 on management of stable angina, published in February 2007, to reflect the most recent evidence. This update incorporates evidence and recommendations on diagnosis and assessment, pharmacological management, interventional cardiology and cardiac surgery, non-cardiac surgery and psychological health and interventions, for patients with stable angina.

Why we need a guideline

Despite a steep decline in mortality from coronary artery disease (CAD) in Scotland over the last 20 years, CAD remains one of the leading causes of death in Scotland, responsible for 7,154 deaths in 2015. It is estimated that 18% of men aged 65–74 and 32% of men aged 75 and over are living with ischaemic heart disease (heart attack or angina); prevalence in women in these age groups is substantially lower at 9% and 20%, respectively. There are treatments available for CAD that can address these issues. A diagnosis of angina can have a significant impact on the patient’s level of functioning and quality of life.

The challenge for health care professionals:

  • identifying patients who have chest pain related to CAD and distinguishing it from chest pain due to other cardiovascular or non-cardiac causes
  • identifying patients with stable angina from those with non-stable angina
  • identifying and ensuring patients with CAD receive appropriate treatments
  • ensuring those patients with CAD undergoing noncardiac surgery receive the correct interventions


John Fellows

Public Affairs Manager

+44 (0) 141 221 6072



Related News

  • College statement on the tragedy in Sri Lanka

    Read more

  • College commits to address gender pay gap

    Read more

  • College admits new Honorary Fellows

    Read more

  • New Federation’s associate medical director for clinical examinations appointed

    Read more

  • Leadership in Action

    Read more

  • SIGN Guideline 157 - Delirium

    Read more

  • College calls for pensions changes to protect NHS

    Read more

  • College celebrates International Women's Day 2019

    Read more

Policy Network

The College offers our membership an opportunity to play a part in shaping the institution’s policies as part of our Policy Network. You can find out more about the work of the Network and how to join here.

Our Influence and Leadership

Log in using your username or email address. You can also use your College Personal ID (PID) if you have one.

Forgotten password?

Create a login

New users must create a login. You do not need to be a member of the College in order to create a login.



Having difficulty registering or logging in? Forgotten your username or password?

Get Help