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ISCHAEMIC HEART DISEASE
The Euro Heart survey set out to investigate the prognosis associated with stable angina in a contemporary population as seen in clinical practice, to identify the key prognostic features, and from this to construct a simple score to assist risk prediction. A total of 3031 patients were included on the basis of a new clinical diagnosis by a cardiologist of stable angina with follow up at one year. The rate of death and non-fatal myocardial infarction (MI) in the first year was 2.3 per 100 patient years; the rate was 3.9 per 100 patient years in the subgroup (n = 994) with angiographic confirmation of coronary disease (this was performed in 41% of all patients). The clinical and investigative factors most predictive of adverse outcome were co-morbidity, diabetes, shorter duration of symptoms, increasing severity of symptoms, abnormal ventricular function, resting electro-cardiographic changes, or not having any stress test done. Results
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