ArticleHeart (British Cardiac Society)2006
Prevalence, incidence, primary care burden and medical treatment of angina in Scotland: age, sex and socioeconomic disparities: a population-based study.
Article in Heart (British Cardiac Society), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Ginkgo Biloba extract for angina pectoris: a systematic review.Chinese journal of integrative medicine · 2015Pooled it
- Impact of self-management interventions on stable angina symptoms and health-related quality of life: a meta-analysis.BMC cardiovascular disorders · 2014Pooled it
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Effect of chronic lung diseases on angina pectoris among Indian adults: longitudinal ageing study in India.Scientific reports · 2024Article
- Family income and cardiovascular disease risk in American adults.Scientific reports · 2023Article
- Article
- Closing gaps in medication taking for secondary prevention of coronary heart disease patients among US adults.Heliyon · 2022Article
- In hypertensive individuals, sleep time and sleep efficiency did not affect the number of angina episodes: a cross-sectional study.Scientific reports · 2022Article
- Socioeconomic gradients in admission to coronary or intensive care units among Australians presenting with non-traumatic chest pain in emergency departments.BMC emergency medicine · 2018Article
- The prevalence and determinants of polypharmacy at age 69: a British birth cohort study.BMC geriatrics · 2018Article
- Drivers of the Sex Disparity in Statin Therapy in Patients with Coronary Artery Disease: A Cohort Study.PloS one · 2016Article
- Article
- Socioeconomic and ethnic differences in use of lipid-lowering drugs after deregulation of simvastatin in the UK: the Whitehall II prospective cohort study.Atherosclerosis · 2011Article
- Application of NHG guidelines in patients referred for stable chest pain syndromes.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2010Article
- Ischemic heart disease in women: many questions, few facts.Circulation. Cardiovascular quality and outcomes · 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
- Increasing socioeconomic inequalities in first acute myocardial infarction in Scotland, 1990-92 and 2000-02.BMC public health · 2009Article
- Cardiovascular disease risk among the poor and homeless - what we know so far.Current cardiology reviews · 2009Article
- Inequity of access to investigation and effect on clinical outcomes: prognostic study of coronary angiography for suspected stable angina pectoris.BMJ (Clinical research ed.) · 2008Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the epidemiology, primary care burden and treatment of angina in Scotland.
designCross-sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 2001 and 31 March 2002.
setting55 primary care practices (362 155 patients).
participants9508 patients with angina.
resultsThe prevalence of angina in Scotland was 28/1000 in men and 25/1000 in women (p < 0.05) and increased with age. The prevalence of angina also increased with increasing socioeconomic deprivation from 18/1000 in the least deprived category to 31/1000 in the most deprived group (p < 0.001 for trend). The incidence of angina was higher in men (1.8/1000) than in women (1.4/1000) (p = 0.004) and increased with increasing age and socioeconomic deprivation. Socioeconomically deprived patients (0.48 contacts/patient among the most deprived) were less likely than affluent patients (0.58 contacts/patient among the least deprived) to see their general practitioner on an ongoing basis p = 0.006 for trend). Among men, 52% were prescribed beta blockers, 44% calcium channel blockers, 72% aspirin, 54% statins and 36% angiotensin converting enzyme inhibitors or angiotensin receptor blockers. The corresponding prescription rates for women were 46% (p < 0.001), 41% (p = 0.02), 69% (p < 0.001), 45% (p < 0.001) and 30% (p < 0.001). Among patients < 75 years old 52% were prescribed a beta blocker and 58% a statin. The corresponding figures for patients >or= 75 years were 42% (p < 0.001) and 31% (p < 0.001).
conclusionsAngina is a common condition, more so in men than in women. Socioeconomically deprived patients are more likely to have angina but are less likely to consult their general practitioner. Guideline-recommended treatments for angina are underused in women and older patients. These suboptimal practice patterns, which are worst in older women, are of particular concern, as in Scotland more women (and particularly older women) than men have angina.
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