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Pharmacological tre...
Pharmacological treatment and perceived health status during 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization. Results from the Euro Heart Survey on Coronary Revascularization
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- Lenzen, M. (author)
- Department of Cardiology, Clinical Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands
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- Scholte, op Reimer W. (author)
- Scholte op Reimer, W., Department of Cardiology, Clinical Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands, Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group
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- Norekval, T.M. (author)
- Norekvål, T.M., Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
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- De, Geest S. (author)
- De Geest, S., Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Institute of Nursing Science University of Basel, Clinical Nursing Science University Hospital Basel, Switzerland
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- Fridlund, B. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, School of Health Sciences and Social Work, Växjö University, Sweden
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- Heikkila, J. (author)
- Heikkilä, J., Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, School of Health and Social Care, Jyväskylä University of Applied Sciences, Finland
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- Jaarsma, T. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Department of Cardiology, University Hospital Groningen, University of Groningen, Netherlands
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- Martensson, J. (author)
- Mårtensson, J., Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Department of Nursing Science, School of Health Sciences, Jönköping, Sweden
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- Moons, P. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Center for Health Services and Nursing Research, Catholic University of Leuven, Belgium
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- Smith, K. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Medical School/School of Nursing and Midwifery, University of Dundee, Scotland, United Kingdom
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- Stewart, S. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, Devision of Health Sciences, University of South Australia, Adelaide, Australia
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- Strömberg, Anna (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Omvårdnad,Kardiologiska kliniken
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- Thompson, D.R. (author)
- Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group, The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong
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- Wijns, W. (author)
- Cardiovascular Center, OLV Ziekenhuis, Aalst, Belgium
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Department of Cardiology, Clinical Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands Scholte op Reimer, W, Department of Cardiology, Clinical Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands, Undertaking Nursing Intervention Throughout Europe (UNITE) Research Group (creator_code:org_t)
- 2016-06-23
- 2006
- English.
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 5:2, s. 115-121
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background: It has been recognized that a clinically significant portion of patients with coronary artery disease (CAD) continue to experience anginal and other related symptoms that are refractory to the combination of medical therapy and revascularization. The Euro Heart Survey on Revascularization (EHSCR) provided an opportunity to assess pharmacological treatment and outcome in patients with proven CAD who were ineligible for revascularization. Methods: We performed a secondary analysis of EHS-CR data. After excluding patients with ST-elevation myocardial infarction and those in whom revascularization was not indicated, 4409 patients remained in the analyses. We selected two groups: (1) patients in whom revascularization was the preferred treatment option (n = 3777, 86%), and (2) patients who were considered ineligible for revascularization (n = 632, 14%). Results: Patient ineligible for revascularization had a worse risk profile, more often had a total occlusion (59% vs. 37%, p < 0.001), were treated more often with ACE-inhibitors (65% vs. 55%, p < 0.001) but less likely with aspirin (83% vs. 88%, p < 0.001). Overall, they had higher case-fatality at 1-year (7.0% vs. 3.7%, p < 0.001). Regarding self-perceived health status, measured via the EuroQol 5D (EQ-5D) questionnaire, these same patients reported more problems on all dimensions of the EQ-5D. Furthermore, in the revascularization group we observed an increase between discharge and 1-year follow up (utility score from 0.85 to 1.00) whereas patients ineligible for revascularization did not improve over time (utility score remained 0.80). Conclusion: In this large cohort of European patients with CAD, those considered ineligible for revascularization had more co-morbidities and risk factors, and scored worse on self-perceived health status as compared to revascularized patients in the revascularization group. With the exception of ACE-inhibitors and aspirin, there were no major differences regarding drug treatment between the two groups. Given these clinically significant observations, there appears to be a role for nurse-led, multidisciplinary, rehabilitation teams that target clinically vulnerable patients whose symptoms remain refractory to standard medical care. © 2006 European Society of Cardiology.
Keyword
- Chronic refractory angina
- Euro Heart Survey
- Health status
- Treatment
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Lenzen, M.
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Scholte, op Reim ...
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Norekval, T.M.
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De, Geest S.
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Fridlund, B.
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Heikkila, J.
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show more...
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Jaarsma, T.
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Martensson, J.
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Moons, P.
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Smith, K.
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Stewart, S.
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Strömberg, Anna
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Thompson, D.R.
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Wijns, W.
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show less...
- Articles in the publication
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European Journal ...
- By the university
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Linköping University