What question did this study set out to answer?

November 19, 1983BMJOpen Access

Patients with angina with normal and near normal coronary arteries: clinical and psychosocial state 12 months after angiography.

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Why the study?

What are the clinical and psychosocial outcomes at 12 months in patients with angina and normal or near-normal coronary arteries?

Population

46 patients with angina who underwent cardiac catheterisation and had insignificant coronary lesions.

Design

Cohort

Follow-up

12 months

Authors

CBC. BassMiscarriage Association CWClyde WadeWaikato Hospital DHDavid J. HandManchester Metropolitan University

Discussion

Member takes

Implication

Persistent chest pain may signal psychiatric morbidity warranting evaluation; observational data leaves open causal links and intervention effects.

Key Points

To assess the clinical, psychological, and social outcomes of patients with angina and normal or near-normal coronary arteries 12 months after diagnostic cardiac catheterisation.
Prospective cohort study of 46 patients (26 men and 20 women) with insignificant (<50%) coronary artery lesions identified during cardiac catheterisation.
Patients were evaluated at baseline and at 12-month follow-up using standardised clinical interviews, neuroticism scores, and assessments of psychiatric and social morbidity.
At 12 months, 19 of 46 patients continued to complain of chest pain, 21 reported phobic symptoms, 23 had unexplained breathlessness, and 11 were unable to work.
High baseline psychiatric morbidity and elevated neuroticism scores were significantly associated with the persistence of chest pain at one year.
The 19 patients with persistent chest pain had significantly higher levels of psychiatric and social morbidity at 12 months than the 27 patients whose symptoms improved.

Structured PICO

What are the clinical and psychosocial outcomes at 12 months in patients with angina and normal or near-normal coronary arteries?

Population

46 patients (26 men, 20 women) with angina who underwent cardiac catheterisation and had insignificant (less than 50%) coronary lesions.

Intervention

Cardiac catheterisation followed by reassurance that no limitation of activity was necessary.

Outcome

Clinical and psychosocial state (including chest pain, phobic symptoms, and psychiatric morbidity) at 12 months.patient reported

Patients with angina and normal or near-normal coronary arteries who fail to improve after reassurance often have underlying psychiatric and social morbidity presenting with somatic symptoms.

Cite This Study

Bass et al. (1983) studied this question.

synapsesocial.com/papers/6a7a2ca59092edbae3f3977a https://doi.org/10.1136/bmj.287.6404.1505

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Implication

Persistent chest pain may signal psychiatric morbidity warranting evaluation; observational data leaves open causal links and intervention effects.

Patients with angina with normal and near normal coronary arteries: clinical and psychosocial state 12 months after angiography.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Patients with angina with normal and near normal coronary arteries: clinical and psychosocial state 12 months after angiography.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider