ArticleHeart (British Cardiac Society)2006
A population study of the long-term consequences of Rose angina: 20-year follow-up of the Renfrew-Paisley 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 15 papers.
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Who cites it
15 citing papers in PubMed, 35 citations in OpenAlex.
- Mortality implications of angina and blood pressure in hypertensive patients with coronary artery disease: New data from extended follow-up of the International Verapamil/Trandolapril Study (INVEST).Clinical cardiology · 2013Trial
- Cost of illness for chronic stable angina patients enrolled in a self-management education trial.The Canadian journal of cardiology · 2008Trial
- Chest Symptoms and Long-Term Risk of Incident Cardiovascular Disease.The American journal of medicine · 2024Article
- Long-term impact of air pollution on heart failure readmission in unstable angina patients.Scientific reports · 2024Article
- Effect of chronic lung diseases on angina pectoris among Indian adults: longitudinal ageing study in India.Scientific reports · 2024Article
- Long-term prognosis of unheralded myocardial infarction vs chronic angina; role of sex and coronary atherosclerosis burden.BMC cardiovascular disorders · 2018Article
- Job insecurity and incident coronary heart disease: the Whitehall II prospective cohort study.Atherosclerosis · 2013Article
- The effect of doubling the statin dose on pro-inflammatory cytokine in patients with triple-vessel coronary artery disease.Korean circulation journal · 2012Article
- Heart health when life is satisfying: evidence from the Whitehall II cohort study.European heart journal · 2011Article
- 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
- Five year prognosis in patients with angina identified in primary care: incident cohort study.BMJ (Clinical research ed.) · 2009Article
- Cardiorespiratory risk factors as predictors of 40-year mortality in women and men.Heart (British Cardiac Society) · 2009Article
- Effectiveness of Psychoeducational Interventions for Improving Symptoms, Health-Related Quality of Life, and Psychological well Being in Patients with Stable Angina.Current cardiology reviews · 2008Article
- Prognosis of stable angina pectoris: why we need larger population studies with higher endpoint resolution.Heart (British Cardiac Society) · 2007Review
- The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients.Chronic illness · 2007Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the long-term cardiovascular consequences of angina in a large epidemiological study.
designProspective cohort study conducted between 1972 and 1976 with 20 years of follow-up (the Renfrew-Paisley Study).
settingRenfrew and Paisley, West Scotland, UK.
participants7048 men and 8354 women aged 45-64 years who underwent comprehensive cardiovascular screening at baseline, including the Rose Angina Questionnaire and electrocardiography (ECG).
main outcome measuresAll deaths and hospitalisations for cardiovascular reasons occurring over the subsequent 20 years, according to the baseline Rose angina score and baseline ECG.
resultsAt baseline, 669 (9.5%) men and 799 (9.6%) women had angina on Rose Angina Questionnaire. All-cause mortality for those with Rose angina was 67.7% in men and 43.3% in women at 20 years compared with 45.4% and 30.4%, respectively, in those without angina (p<0.001). Values are expressed as hazards ratio (HR) (95% confidence interval (CI). In a multivariate analysis, men with Rose angina had an increased risk of cardiovascular death or hospitalisation (1.49 (1.33 to 1.66), myocardial infarction (1.63 (1.41 to 1.85)) or heart failure (1.54 (1.13 to 2.10)) compared with men without angina. The corresponding HR (95% CI) for women were 1.38 (1.23 to 1.55), 1.56 (1.31 to 1.85) and 1.92 (1.44 to 2.56). An abnormality on the electrocardiogram (ECG) increased risk further, and both angina and an abnormality on the ECG increased risk most of all compared with those with neither angina nor ischaemic changes on the ECG. Compared with men, women with Rose angina were less likely to have a cardiovascular event (0.54 (0.46 to 0.64)) or myocardial infarction (0.44 (0.35 to 0.56)), although there was no sex difference in the risk of stroke (1.11 (0.75 to 1.65)), atrial fibrillation (0.84 (0.38 to 1.87)) or heart failure (0.79 (0.51 to 1.21)).
conclusionsAngina in middle age substantially increases the risk of death, myocardial infarction, heart failure and other cardiovascular events.
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