Incidence and clinical presentation of myocardial ischemia in patients with chronic CAD in Italy: the ISPICA survey study

Maurizio Volterrani, Ferdinando Iellamo, Giuseppe Marazzi, Enrico Pusineri, Pasquale Guarini, Stefano Bonassi, Francesco Caiazza, Roberto Tramarin, Claudio Chimini, Cesare Proto

Research output: Contribution to journalArticle

Abstract

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?

Original languageEnglish
JournalJournal of Cardiovascular Medicine
DOIs
Publication statusAccepted/In press - Dec 23 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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