Angina Prevalence and Provider Evaluation of Angina Relief

Study Overview
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Brief Summary
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The purpose of this study is describe the frequency of chest pain and how chest pain impacts patients' quality of life in the outpatients with chronic coronary artery disease in contemporary cardiology practice settings.

Detailed Description
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The primary goals in the management of stable coronary artery disease (CAD) are to reduce risk factors for heart attack and to control the symptoms of angina (chest pain). Ideally angina is well controlled with medications alone, but invasive procedures are a valuable option for patients with persistent angina. The amount of angina among patients with stable CAD in the outpatient setting, however, is unknown. An Australian study reported that almost 1 in 3 patients with stable angina being treated by primary care doctors had angina at least once a week, which was associated with worse quality of life. We propose to examine the burden of angina in outpatients with stable CAD who are being medically managed by cardiologists in the United States through administration of a one-time survey. The information from this study could ultimately help improve management of stable CAD and angina and illuminate potential underuse of revascularization. While cardiologists are generally expected to provide better angina control than primary care doctors, establishing the prevalence of angina among the best providers will help with a framework for interpreting symptom control among other practitioners.

Official Title
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Angina Prevalence and Provider Evaluation of Angina Relief

Conditions
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Stable Coronary Artery Disease CAD

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Coronary artery disease patients being seen in a participating cardiology office for a scheduled clinic visit who agree to take the survey. Exclusion Criteria: Too ill to take survey Previously completed this survey Refused to participate

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Outpatient Coronary Artery Disease Patient<br>CAD patients being seen in a participating cardiology office for a scheduled clinic visit who agree to take the survey. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Seattle Angina Questionnaire | Percentage of patients with frequent angina (>1 episode/week) as measured by the Seattle Angina Questionnaire (SAQ). | One time cardiology office visit. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life | Evaluate the impact of frequent angina on Quality of Life (as measured by the SAQ) | One time cardiology office visit. | 
| Physician Perspective | Identifying differences between patients' and cardiologists' assessment of angina control | One time cardiology office visit. | 
| Cardiology practices angina control. | Evaluate the differences in angina control between cardiology practices. | One time cardiology office visit. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Angina, Stable ischemic heart disease, Quality of Life, Seattle Angina Questionnaire (SAQ)