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Population cost of unstable angina pectoris.
INTRODUCTION: Unstable Angina Pectoris (UA) is a complex complication of coronary artery disease (CAD), adding substantially to morbidity and cost of medical care. GOAL: To measure type and amount of resources used over two years in a defined population cohort diagnosed with unstable Angina. METHOD: The population with anyone with a diagnosis of unstable Angina during the previous 15 years. Care for UA during 1 July 1993 to 30 June 1995 for UA, other CAD and all other medical conditions were obtained from and integrated U.S. managed care organization (MCO). Cost per service was obtained from the Health Care Financing Administration. Outpatient pharmaceutical costs were obtained from the MCO. RESULTS: 406 persons were included in the study. Total medical costs for the study cohort during the two year period were $12,082,954; costs per person were $29,761 (S.D. $32,985), or $1,240 per month. UA accounted for 13.3% of cost, other CAD 48.1%, and all other diseases for 38.6% of total costs. Resource use during the study period was 3-fold higher for people who had diagnostic (e.g., cardiac catherization) or therapeutic (e.g., coronary artery bypass graft) procedures than for those who did not. Hospitalization costs accounted for 74.0% of the total; ambulatory care for 26.0%; outpatient pharmaceuticals accounted for 21.9% of ambulatory costs and 5.7% of total costs. Regression analysis found having any procedure, having any procedure, having myocardial infarction, and/ or heart failure were the only variables significantly related to cost, R2=53.7%, p
MedlinePlus: Angina
Article: Angina Pectoris and atherosclerotic risk factors in the multisite cardiac...
MedlinePlus
Medical Encyclopedia: Angina
MedlinePlus
Medical Encyclopedia: Angina
angina pectoris
variant Angina Pectoris
Unstable angina pectoris.
This guideline updates a previous version: Finnish Medical Society Duodecim. Unstable Angina Pectoris. In: EBM Guidelines. Evidence-Based Medicine [CD-ROM]. Helsinki, Finland: Duodecim Medical Publications Ltd.; 2004 Sep 14 [Various].
Guidelines on the management of stable angina pectoris.
In his/ her lifetime, the patient with stable Angina may meet episodes of exercise/ stress-induced symptomatic myocardial ischaemia (Angina Pectoris), silent ischaemia, progressive Angina, acute coronary syndromes (unstable Angina and MI), acute and chronic heart failure, and life-threatening arrhythmias. Prolonged periods of stability may alternate with periods of instability (sudden progression and acute coronary syndromes). According to the state of the disease, a patient will require treatment aimed at retardation of the progression of disease (prevention), management of symptomatic disease (Angina Pectoris), management of acute coronary syndromes, and management of heart failure or life-threatening arrhythmias. The physician should be prepared to offer the appropriate therapy at the appropriate time. The different modes of preventative therapy, symptomatic medical therapy, such as percutaneous and surgical coronary revascularization and management of arrhythmias, are all rapidly evolving and so it is recommended that an individual physician operates within a team which can offer the appropriate therapy at the appropriate time with the appropriate skills.
ANGINA PECTORIS
Angina Pectoris
ANGINA PECTORIS
Angina Pectoris
What Is Angina?
What Is Angina?
Unstable Angina Pectoris Trial - Full Text View - ClinicalTrials.gov
Angina Pectoris is a symptomatic condition of attacks of chest pain, often debilitating. It is caused by a decreased supply of blood to the heart, such as that which might occur in coronary artery disease. The usual treatment of Angina Pectoris is designed to relieve the symptoms. It includes avoidance of activities that produce the discomfort and the use of nitroglycerin and beta blocking drugs. Soon after the introduction of coronary bypass surgery, many doctors enthusiastically adopted this approach in treating patients with unstable Angina.
Prinzmetal's angina
Angina Pectoris
Search of: "Angina Pectoris, Variant" - List Results - ClinicalTrials.gov
"Angina Pectoris, Variant"
Chapter 25:Neural Mechanisms of Cardiac Pain: Angina Pectoris"
Angina Pectoris refers to pain originating from the chest ( Figure
3 ).
Energy Citations Database (ECD) - - Document #5113274
Thallium-201 scintigraphy in unstable Angina Pectoris
Neuroticism as a factor in the diagnosis of angina pectoris
Discusses the findings of (e.g.) P. T. Costa et al (in press) and M. F. Elias et al (in press)
as evidence that neuroticism is more of a risk factor for undergoing arteriography than for
coronary artery disease such as Angina Pectoris. Negative correlations have been found
between maximum arterial occlusion and psychological measures of neuroticism.
Neuroticism has shown positive correlations with false positive diagnoses of Angina
Pectoris.
FDA Heart Health Online - Angina
Other Names: Angina Pectoris, Stable or Common Angina, Unstable Angina, Variant Angina, Prinzmetal's Angina, Coronary Artery Spasm, Acute Coronary Syndrome
Chapter 25:Neural Mechanisms of Cardiac Pain: Neurophysiology of Angina Pectoris"
Future studies
should explore the hierarchy of control mechanisms that integrate
the activity from these regions and ultimately cause the various
manifestations of the sensation of Angina Pectoris.
Aspirin Cardiovascular
Coraspin 100 is indicated as antithrombotic; in the inflammation of superficial veins, non-stable Angina Pectoris and in patients at risk (hypertensive, hyperlipidemic and diabetic) for preventing coronary thrombosis;
Predictors of Patient Satisfaction after Admission for AMI and Unstable Angina.
Research Objective: Satisfaction among patients with coronary artery disease (CAD) is becoming an increasingly important outcome of care. Although several studies have evaluated patient satisfaction and quality of life after coronary interventions, little is known about what factors predict satisfaction after admission for acute coronary syndromes. This study examines predictors of patient satisfaction after hospital admission for acute myocardial infarction (AMI) and unstable Angina Pectoris (UAP).Study Design: Data is from the VA ACCESS to Cardiology Project, a prospective cohort study of all patients discharged from VA medical centers in the western and central United States between March 1998 and February 1999 with ICD-9-CM codes of 410(Acute MI) or 411(Unstable Angina Pectoris). We obtained patient satisfaction data using the Seattle Angina Questionnaire (SAQ) seven months after hospital discharge. Patients received an additional questionnaire exploring aspects of communication with their doctors. SAQ treatment satisfaction scores were divided into top (high satisfaction, =33rd percentile) and bottom (low satisfaction, <33rd percentile) groups. We used a logistic regression model with several explanatory variables, including demographics, comorbidities, procedures, health status (SAQ Angina frequency), communication with physicians, and number of readmissions to analyze their effect on 7-month satisfaction. We conducted a series of sensitivity analyses, by varying the thresholds for high and low patient satisfaction scores on the SAQ, to insure that the prediction model was robust. Cluster analysis was performed to control for potential biases introduced by site of hospital care.Population Studied: Western and Midwestern U.S. Veterans.Principal Findings: Of 2968 patients discharged after AMI or UAP, 2463 patients were alive seven months after index hospital discharge. 1949(79.13%) of these patients returned the SAQ. Significant predictors of high patient
Search of: Open Studies | "Angina Pectoris" - List Results - ClinicalTrials.gov
Effects of Intensive Long-Term Vasodilation in Hypertensive Patients With Microvascular Angina Pectoris
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