Management of patients with suspected angina, but without known myocardial infarction: A cross-sectional survey

Alessandro Filippi, Gianfranco Gensini, A. Angelo Bignanimi, Andrea Sabatini, Giampiero Mazzaglia, Claudio Cricelli

Research output: Contribution to journalArticle

Abstract

Background: Although several studies describing the diagnostic and therapeutic management of patients with myocardial infarction (MI) by general practitioners have recently been published, little information exists about patients with angina without MI. Aim: To describe the management of patients with angina without known MI in general practice. Design: A cross-sectional survey. Setting: Italian general practitioners providing data to the Health Search Database. Method: Prevalent cases of angina, using the prescription of nitrates as a 'proxy' for disease status, in patients without known MI were selected from the Health Search Database. Data on patient demographics, clinical information, established therapies and cardiology visits were collected. A binomial logistic regression analysis was performed to test which variable made prescription more or less likely. Results: There were 10 455 patients with angina. Blood pressure readings were available for 73.8% of patients; in this group 58.9% had inadequate (≥140/90 mmHg) blood pressure control. Total cholesterol was recorded in 61.6% of cases (mean value = 5.5 mmol/L). Antiplatelet or oral anticoagulant agents were used by 67.8% of the patients, while 24.1% of patients received lipid-lowering agents, 61% received ACE-inhibitors or angiotensin-II receptor antagonists, and 25.2% received β -blockers. Conclusions: In patients treated with nitrates the monitoring of modifiable risk factors and the use of preventive drugs is lower than expected. New strategies aimed at improving secondary cardiovascular prevention among these easily identifiable high-risk subjects are needed.

Original languageEnglish
Pages (from-to)429-433
Number of pages5
JournalBritish Journal of General Practice
Volume54
Issue number503
Publication statusPublished - Jun 2004

Keywords

  • Angina pectoris
  • Coronary disease
  • Nitrates
  • Patient care management
  • Prevention and control
  • Vasolidator

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Management of patients with suspected angina, but without known myocardial infarction: A cross-sectional survey'. Together they form a unique fingerprint.

  • Cite this

    Filippi, A., Gensini, G., Bignanimi, A. A., Sabatini, A., Mazzaglia, G., & Cricelli, C. (2004). Management of patients with suspected angina, but without known myocardial infarction: A cross-sectional survey. British Journal of General Practice, 54(503), 429-433.