Effect of angina under-recognition on treatment in outpatients with stable ischaemic heart disease.

ABSTRACT:

Aims

Almost a third of outpatients with chronic coronary artery disease (CAD) report having angina in the prior month, which is frequently under-recognized by their cardiologists. Whether under-recognition is associated with less treatment escalation to control angina, and potential underuse of treatment, is unknown.

Methods and results

Patients with CAD from 25 US cardiology outpatient practices completed the Seattle Angina Questionnaire (SAQ) prior to their clinic visit, and angina was categorized as daily, weekly, monthly and no angina. Cardiologists (n=155) independently quantified patients' angina, blinded to patients' SAQ scores. Under-recognition was defined as the physician reporting a lower category of angina frequency than the patient. Among 1257 patients with CAD,

SUBMITTER: Qintar M 

PROVIDER: S-EPMC5322471 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature