Seattle Angina Pectoris Questionnaire and Canadian Cardiovascular Society Angina Categories in the Assessment of Total Coronary Atherosclerotic Burden
| Autor: | L. M. Santos, Carlos M. Campos, Roberto Kalil Filho, Ludhmila Abrahão Hajjar, Hector M. Garcia-Garcia, Fabio Sandoli de Brito, Sameer Mehta, Alexandre Abizaid, Vitor Emer Egypto Rosa, Welingson V.N. Guimarães, Pedro A. Lemos, Marcelo Harada Ribeiro, Expedito E. Ribeiro, Pedro Felipe Gomes Nicz |
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| Rok vydání: | 2020 |
| Předmět: |
Coronary angiography
Male medicine.medical_specialty medicine.medical_treatment MEDLINE Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography Severity of Illness Index Angina Pectoris Angina 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Internal medicine Diabetes mellitus Surveys and Questionnaires medicine Humans 030212 general & internal medicine Patient Reported Outcome Measures Prospective Studies Aged business.industry Percutaneous coronary intervention Canadian Cardiovascular Society Middle Aged medicine.disease Atherosclerosis Prognosis Clinical trial Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American journal of cardiology. 152 |
| ISSN: | 1879-1913 |
| Popis: | The patient reported angina measurement with the Seattle Angina Questionnaire (SAQ) has shown to have prognostic implications and became an endpoint in clinical trials. Our objective was to study physician-reported and SAQ severity with the total coronary atherosclerotic burden as assessed by 4 angiographic scores. We prospectively analyzed data of consecutive patients scheduled for coronary angiography or percutaneous coronary intervention. The Canadian Cardiovascular Society (CCS) angina categories was used as physician-reported angina. SAQ domains were categorized as severe (0 to 24), moderate 25 to 75 and mild angina (75). All angina assessments were done before coronary angiography. Gensini, Syntax, Friesinger, and Sullivan angiographic scores were used for total atherosclerotic burden quantification: 261 patients were included in the present analysis. The median age was 66.0 (59.0 to 71.8) years, 53.6% were male and 43.7% had diabetes. The median SYNTAX score was 6.0 (0 to 18.0). The worse the symptoms of CCS categories, the more severe was the atherosclerotic burden in all angiographic scores: SYNTAX (p = 0.01); Gensini (p0.01); Friesinger (p = 0.02) and Sullivan (p = 0.03). Conversely, SAQ domains were not able to discriminate the severity of CAD in any of the scores. The only exception was the severe SAQ quality of life that had worse Gensini score than the mild SAQ quality of life (p = 0.04). In conclusion, CCS angina categories are related to the total atherosclerotic burden in coronary angiography, by all angiographic scores. SAQ domains should be used as a measure of patient functionality and quality of life but not as a measure of CAD severity. |
| Databáze: | OpenAIRE |
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