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The prognosis for patients with new-onset angina who have undergone cardiac catheterization.

Publication ,  Journal Article
Roberts, KB; Califf, RM; Harrell, FE; Lee, KL; Pryor, DB; Rosati, RA
Published in: Circulation
November 1983

We investigated the prognostic significance of new-onset angina in patients in whom coronary anatomic characteristics were known. New onset angina was defined as angina of less than 3 months duration. Consecutive patients (n = 1727) with significant coronary artery disease (diagnosed at cardiac catheterization) and who had not had a prior myocardial infarction or congestive heart failure were studied. In patients with new-onset angina (n = 329) there was a higher incidence of single-vessel disease (43% vs 27%) and a lower incidence of triple-vessel (23% vs 35%) and left main artery (5% vs 10%) disease compared with patients with chronic angina (n = 1398). Patients were classified by the presence or absence of preinfarction angina (severe and prolonged angina at rest requiring hospitalization to rule out myocardial infarction). In patients treated without surgery and who did not have preinfarction angina, survival at 1 year was 97% for patients with new-onset angina and 98% for those with chronic angina (p = .27). Among patients not treated surgically who did not have preinfarction angina, at 1 year 16% with new-onset angina and 7% with chronic angina had suffered a cardiac event (nonfatal myocardial infarction or death, p = .006). In patients treated surgically who did not have preinfarction angina, survival at 1 year was 96% both for those with new-onset angina and those with chronic angina (p = .99). The risk of an event in patients treated surgically at 1 year was not statistically different in patients with new-onset angina and those with chronic angina (12% vs 11%, p = .27). Survival and event-free rates were lower in patients with preinfarction angina than in patients who did not have it.(ABSTRACT TRUNCATED AT 250 WORDS)

Duke Scholars

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

November 1983

Volume

68

Issue

5

Start / End Page

970 / 978

Location

United States

Related Subject Headings

  • Time Factors
  • Risk
  • Prognosis
  • Myocardial Infarction
  • Middle Aged
  • Humans
  • Coronary Vessels
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • Angina Pectoris
 

Citation

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Roberts, K. B., Califf, R. M., Harrell, F. E., Lee, K. L., Pryor, D. B., & Rosati, R. A. (1983). The prognosis for patients with new-onset angina who have undergone cardiac catheterization. Circulation, 68(5), 970–978. https://doi.org/10.1161/01.cir.68.5.970
Roberts, K. B., R. M. Califf, F. E. Harrell, K. L. Lee, D. B. Pryor, and R. A. Rosati. “The prognosis for patients with new-onset angina who have undergone cardiac catheterization.Circulation 68, no. 5 (November 1983): 970–78. https://doi.org/10.1161/01.cir.68.5.970.
Roberts KB, Califf RM, Harrell FE, Lee KL, Pryor DB, Rosati RA. The prognosis for patients with new-onset angina who have undergone cardiac catheterization. Circulation. 1983 Nov;68(5):970–8.
Roberts, K. B., et al. “The prognosis for patients with new-onset angina who have undergone cardiac catheterization.Circulation, vol. 68, no. 5, Nov. 1983, pp. 970–78. Pubmed, doi:10.1161/01.cir.68.5.970.
Roberts KB, Califf RM, Harrell FE, Lee KL, Pryor DB, Rosati RA. The prognosis for patients with new-onset angina who have undergone cardiac catheterization. Circulation. 1983 Nov;68(5):970–978.

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

November 1983

Volume

68

Issue

5

Start / End Page

970 / 978

Location

United States

Related Subject Headings

  • Time Factors
  • Risk
  • Prognosis
  • Myocardial Infarction
  • Middle Aged
  • Humans
  • Coronary Vessels
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • Angina Pectoris