Stable Angina in Spain and its Impact on Quality of Life. The AVANCE Registry
Stable Angina in Spain and its Impact on Quality of Life. The AVANCE Registry
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DOI：
10.1016/j.rec.2012.03.010
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发表时间：
2012-08-01
影响因子：
5.9
通讯作者：
Artigas, Remei
中科院分区：
文献类型：
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作者：
Borras, Xavier;Garcia-Moll, Xavier;Artigas, Remei
前言和目的：急性冠脉综合征的死亡率已经下降，但相当数量的慢性患者仍有症状。本研究旨在探讨稳定型心绞痛患者的临床特点、治疗方法及其对生活质量的影响。方法：对门诊就诊的2039例稳定型心绞痛患者进行横断面多中心观察性研究。收集了有关临床变量和对心绞痛严重程度的主观感觉以及由此产生的局限性的数据。患者完成了关于他们对严重程度和生活质量的感知的问卷调查。结果：我们分析了2024名患者的数据，其中73%是男性(平均年龄68[10]岁)。约50.3%的患者无症状(每周发作3次；66%的患者曾接受血管重建术，59%的患者出现复发心绞痛)。患者对他们病情的严重程度的评分高于他们的医生(4.5[2.5]比4.3[2.3]；P=0.002)。医生和患者对心绞痛的反应的看法几乎不一致(kappa
Introduction and objectives: Mortality from acute coronary syndrome has fallen but a substantial number of chronic patients remain symptomatic. The present study was designed to determine the clinical characteristics and therapeutic treatment of patients with stable angina and its impact on their quality of life.Methods: A cross-sectional, multicenter, observational study of 2039 patients with stable angina attended in outpatient clinics was performed. Data were collected on clinical variables and on the subjective perception of the severity of angina and the resulting limitations. Patients completed questionnaires on their perception of severity and quality of life.Results: We analyzed data on 2024 patients; 73% were men (mean age 68 [10] years). Some 50.3% were asymptomatic (3 attacks per week; 66% had previously undergone revascularization, and 59% of these developed recurrent angina. Patients rated the severity of their condition higher than did their physicians (4.5 [2.5] vs 4.3 [2.3]; P=.002). Physicians' and patients' perceptions of the repercussions of angina showed little concordance (kappa