Presentation, management and course of angina and suspected angina in primary care.
Previous surveys may have underestimated both prevalence and incidence of ischemic heart disease in general practice.
Case identification is difficult, as many patients presenting with chest pain turn out not to have ischemic heart disease, although their outcome is unclear otherwise.
In this work we aimed to :
(1) estimate prevalence and incidence of angina in one Oxford general practice ; (2) describe the processes of assessment, investigation, and management of suspected angina ; and (3) describe the 2-year symptomatic and functional outcome of angina patients, compared with patients whose provisional diagnosis of suspected ischemic heart disease (IHD) was not subsequently sustained (NCCP).
A retrospective survey of patients was undertaken (aged 45-74 years) by hand searching paper and electronic medical records to find, as of 1 January 1992, all patients in the practice with continuing treatment of angina diagnosed before 1989, or those having a new diagnosis of angina being assessed (suspected angina) in the 3 years 1989-1991.
Two years later, a postal questionnaire survey compared the symptomatic and functional outcome of confirmed IHD and NCCP.
On 1 January 1992, the diagnosis of angina was recorded in the notes of 11.1% of patients aged 45-74 years, and the diagnosis was considered correct in 7.4%. Over a 3-year period. (...)
Mots-clés Pascal : Angine poitrine, Prévalence, Incidence, Epidémiologie, Angleterre, Grande Bretagne, Royaume Uni, Europe, Soin santé primaire, Diagnostic, Traitement, Evolution, Pronostic, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire
Mots-clés Pascal anglais : Angina pectoris, Prevalence, Incidence, Epidemiology, England, Great Britain, United Kingdom, Europe, Primary health care, Diagnosis, Treatment, Evolution, Prognosis, Human, Cardiovascular disease, Coronary heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0266657
Code Inist : 002B12A03. Création : 16/11/1999.