Psychosocial and physical predictors of anginal pain relief with medical management.

Published

Journal Article

This study was undertaken to identify psychosocial and physical characteristics that independently predict anginal pain relief. The original study group comprised over 570 patients in whom the characteristics were identified at the time of coronary arteriography and who were followed up after 6 months of standard medical therapy. In the subset of 382 of these patients who were assessed as having NYHA Class III or IV angina at the time of angiography, a multivariable analysis of 101 baseline descriptors showed that higher scores on the MMPI hypochondriasis scale, unemployment, and more severe right coronary occlusion were significant independent predictors of failure to achieve two-class improvement at follow-up. These three characteristics also predicted continuing severe angina in a subsequent, independent sample of 91 new patients. These findings could help physicians select appropriate treatment by prospectively identifying patients who are unlikely to respond to standard medical treatment of angina.

Full Text

Duke Authors

Cited Authors

  • Williams, RB; Haney, TL; McKinnis, RA; Harrell, FE; Lee, KL; Pryor, DB; Califf, R; Kong, YH; Rosati, RA; Blumenthal, JA

Published Date

  • March 1, 1986

Published In

Volume / Issue

  • 48 / 3-4

Start / End Page

  • 200 - 210

PubMed ID

  • 2871582

Pubmed Central ID

  • 2871582

Electronic International Standard Serial Number (EISSN)

  • 1534-7796

International Standard Serial Number (ISSN)

  • 0033-3174

Digital Object Identifier (DOI)

  • 10.1097/00006842-198603000-00005

Language

  • eng