Incidence and clinical presentation of myocardial ischemia in patients with chronic CAD in Italy: the ISPICA survey study
Autor: | Roberto Tramarin, Claudio Chimini, Francesco Caiazza, Pasquale Guarini, Ferdinando Iellamo, Enrico Pusineri, Stefano Bonassi, Maurizio Volterrani, Giuseppe Marazzi, Cesare Proto |
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Rok vydání: | 2015 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Chronic stable ischemia MEDLINE Myocardial Ischemia Coronary Artery Disease 030204 cardiovascular system & hematology Angina Pectoris Angina Coronary artery disease Settore MED/11 03 medical and health sciences Angina equivalents Survey Aged Aged 80 and over Cardiovascular Agents Chronic Disease Female Health Surveys Humans Incidence Italy Middle Aged Myocardial Revascularization Risk Factors 0302 clinical medicine medicine 80 and over Medical history cardiovascular diseases 030212 general & internal medicine business.industry Incidence (epidemiology) General Medicine medicine.disease medicine.anatomical_structure Observational study Presentation (obstetrics) Cardiology and Cardiovascular Medicine business Artery |
Zdroj: | Journal of cardiovascular medicine (Hagerstown, Md.). 17(9) |
ISSN: | 1558-2035 |
Popis: | AIM This survey study was performed to provide an overall picture on the incidence of symptoms, with or without typical angina, in the real-life clinical practice and to identify clinical factors associated with atypical presentations in an unselected population of consecutive outpatients with chronic coronary artery disease (CAD). METHODS Thirty-six cardiology units located in different geographic areas of Italy enrolled a total of 1475 outpatients (73.6% men and 26.3% women; mean age 71 ± 10 and 67 ± 9 years in men and women, respectively) with a documented diagnosis of chronic CAD. Each patient underwent a medical history, with a detailed investigation as to the presence of typical angina or ischemic equivalents defined as sensation of chest pressure, or arm, neck, or jaw pain. RESULTS At admission, symptoms suggesting ischemic episodes were reported by 24.4% of patients. After an in-depth medical history collection by the specialist, the prevalence of combined typical or atypical myocardial ischemic episodes was ascertained in 39.3% of the overall population.Typical angina was reported by 13.6% of men and 22.7% of women (P |
Databáze: | OpenAIRE |
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