Key result
Higher hypochondriasis scores, unemployment, and severe right coronary occlusion predict failure of angina medical therapy.
Population
382 patients with NYHA Class III or IV angina at the time of coronary angiography, and a subsequent…
Design
Cohort
Follow-up
6 months
Authors
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Hypochondriasis and unemployment may identify angina patients unlikely to respond to medical therapy; hypothesis-generating for targeted psychosocial interventions.
Cohort (n=570)
Psychosocial factors such as hypochondriasis and unemployment, along with right coronary occlusion severity, can help prospectively identify patients with severe angina who are unlikely to respond to standard medical therapy.
Williams et al. (1986) conducted a cohort in Angina (n=570). Psychosocial and physical characteristics (MMPI hypochondriasis, unemployment, right coronary occlusion) was evaluated on Failure to achieve two-class improvement in angina at follow-up. Higher MMPI hypochondriasis scores, unemployment, and severe right coronary occlusion independently predicted failure to achieve two-class improvement in angina after 6 months of medical therapy.
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