Editorial
Improving quality of life in patients with angina
| The first 150 words of the full text of this article appear below. |
Angina appears to have a particularly deleterious effect on a patient's quality of life. In a community survey in which the short form 36 (SF36) was administered to 1200 patients with 11 different chronic illnesses (including arthritis, sciatica, back pain, diabetes, depression, and stroke) only patients suffering from chronic anxiety reported a more severe detrimental effect on their general health.1 These patients were already receiving medical treatment, what more could have been done to help them?
Interventional treatmentsBoth coronary artery bypass grafting and angioplasty provide
worthwhile reductions in symptoms and reduce early mortality in
selected patients. The relative merits of each procedure are likely to
be debated for some time but, whatever the final consensus, without a
huge increase in resources, neither intervention will help most angina
patients. In the UK there are approximately 1.6 million people with
angina,2 of whom approximately 20% are referred to
secondary care3 and 2% receive
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(2002). The problem of chronic refractory angina. Report from the ESC Joint Study Group on the Treatment of Refractory Angina. Eur Heart J
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