ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
Increased mortality among women with Rose angina who have not presented with ischaemic heart disease.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 36 citations in OpenAlex.
- Favourable long term prognosis in stable angina pectoris: an extended follow up of the angina prognosis study in Stockholm (APSIS).Heart (British Cardiac Society) · 2006Trial
- Chest Symptoms and Long-Term Risk of Incident Cardiovascular Disease.The American journal of medicine · 2024Article
- Gender Differences in the Association between Lipid Profile and Sexual Function among Patients with Coronary Artery Disease.International cardiovascular research journal · 2014Article
- Incongruous consultation behaviour: results from a UK-wide population survey.BMC family practice · 2012Article
- A novel prediction model for all cause emergency department visits in ischemic heart disease.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2011Article
- Patients' descriptions of angina symptoms: a qualitative study of primary care patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- The conundrum of detecting stable angina pectoris in the community setting.Nature reviews. Cardiology · 2010Review
- Five year prognosis in patients with angina identified in primary care: incident cohort study.BMJ (Clinical research ed.) · 2009Article
- Chest pain and subsequent consultation for coronary heart disease: a prospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- A population study of the long-term consequences of Rose angina: 20-year follow-up of the Renfrew-Paisley study.Heart (British Cardiac Society) · 2006Article
- Prevalence, incidence, primary care burden and medical treatment of angina in Scotland: age, sex and socioeconomic disparities: a population-based study.Heart (British Cardiac Society) · 2006Article
- Chronic pain and health status: how do those not using healthcare services fare?The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Influence of practices' ethnicity and deprivation on access to angiography: an ecological study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about the clinical importance of disease that is not presented to healthcare services.
aimTo determine the 5-year mortality among those with angina symptoms, known or not known by their general practitioner (GP) to have ischaemic heart disease (IHD).
designA prospective cohort study.
settingThe study was conducted in the United Kingdom as part of the Royal College of General Practitioners' Oral Contraception Study.
methodIn 1994-1995 women (n = 11,797) still under GP observation were sent a questionnaire that inquired about their smoking habits, other lifestyle issues, general health, and selected symptoms (including chest pain, assessed using the Rose angina questionnaire). The main outcome measure was the chances (odds) of dying during the next 5 years, among those with and without exertional chest pain, Rose angina or Rose myocardial infarction (MI), stratified by documented history of IHD.
resultsOverall, the lifetime prevalence of any exertional chest pain was 10.1% (95% confidence interval [CI] = 9.5 to 10.8); grade I Rose angina was 6.1% (95% CI = 5.6 to 6.6); grade II Rose angina was 1.3% (95% CI = 1.1 to 1.6); and Rose MI was 4.4% (95% CI = 4.0 to 4.9). The prevalence of each condition tended to increase with age, social class, parity, body mass index, and documented history of IHD. The proportion of women documented as having IHD was 23% among those with any exertional chest pain, 21.7% for grade I Rose angina, 37.7% for grade II Rose angina, and 31.4% for Rose MI. Compared to women without Rose angina, significantly higher odds ratios for all-cause mortality were observed among women with grade I Rose angina and no documented history of IHD (adjusted odds ratio [AOR] = 1.71, 95% CI = 1.05 to 2.79); those with grade II Rose angina and documented IHD (AOR = 3.94, 95% CI = 1.58 to 9.83); and women with grade II Rose angina and no documented history of IHD (AOR = 3.35, 95% CI = 1.47 to 7.62).
conclusionsWomen with angina symptoms that have not been documented by their GP appear to have an increased risk of future mortality. Research is needed to determine the best way of identifying and managing these individuals.
Indexed as
Identifiers
14601354PMC1314711W2132760237What OpenQuestion holds
Registered trials
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