Naslov
The clinical characteristics and investigations planned patients with stable angina presenting to cardiologists in Europe:from the Euro Heart Survey of Stable Angina

Autori
Caroline, A.Daly ; Felicity, Clemens ; Jose, L.Lopez Sendon ; Luigi, Tavazzi ; Eric, Boersma ; Nicholas, Danchin ; Francois, Delahaye ; ... ; Euro Heart Survey Investigators, Nikolić Heitzler, Vjeran ; Samodol, Ante ; Vincelj, Josip

Kolaboracija
Euro Heart Survey Investigators

Izvornik
European heart journal (0195-668X) 26 (2005); 996-1010

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Stable angina ; Presentation ; Cardiovascular risc factors ; Non-invasive investigators ; Stress testing ; Coronary angiography

Sažetak
The Euro Heart Survey of Stable Angina set out to prospectively study the presentation and management of patients with stable angina as first seen by a cardiologist in Europe, with particular reference to adherence to existing guidelines and regional variability in patients presentation and initial assessment. Consecutive outpatients with a clinical diagnosis by a cardiologist of stable angina were enrolled in the study and 3779 patients were included in the analysis. The average age was 61 years and 58% were male. The majority of patients (88%) had mild to moderate angina CCS class I or II. Despite a high prevalence of recognized risk factors, 27% did not have cholesterol and 33% did not have glucose measured within 4 weeks of assessment. The resting ECG was abnormal in 41% of patients. An exercise ECG was performed or planned as part of initial investigation in 70% of patients and 18% had stress imaging test such as perfusion scanning or stress echo. A coronary angiogram was performed or planned in 41%, and 64% had an echo. The time from assessment to investigation varied widely, particularly for angiography. One in 10 patients had neither any form of stress test nor angiography, with marked regional variation. Availability of invasive facilities increased the likelihood of both non-invasive and invasive investigations. In multivariable analysis, a positive stress test was the strongest predictor of the use of angiography, associated with a six- fold increase in the likelihood of invasive in vestigation. Considerable variation in features at presentation and use of investigations has been identified in the stable angina population in Europe. The evaluation of biochemical cardiovascular risk factors was suboptimal. Overall rates of non-invasive investigation for angina and the clinical appropriateness of factors predictive of the use of invasive investigation were broadly in line with guidelines.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA