Coronary artery disease (CAD) remains the number one cause of death and disability in men and women in the United States and all Industrialized societies. The prevalence of CAD is increasing as the population ages. The predominant presenting symptom is angina, classified as chronic stable, microvascular, Prinzmetal's, or unstable. Chronic stable angina is the frm most often encountered in the primary care setting. With appropriate managment, long-term prognosis is good. Because anginal thresholds vary, treatment must address individual patients' needs. Patients should be counseled throughout follow-up and educated about modifying risk factors and managing routine activities. Most patients can be treated pharmacologically with single or combination therapy including long-acting nitrates, beta-blockers, and calcium channel blockers. Consultation with a cardiologist during follow-up may also be warranted.