Editorials

Self management training in refractory angina

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39465.522569.80 (Published 14 February 2008) Cite this as: BMJ 2008;336:338
  1. Michael McGillion, postdoctoral fellow1,
  2. Heather Arthur, professor1,
  3. Paulin Andréll, resident physician2,
  4. Judy Watt-Watson, professor3
  1. 1McMaster University, Faculty of Health Sciences, HSC 2J20A, Hamilton, ON L8N 3Z5 Canada
  2. 2Multidisciplinary Pain Centre, Sahlgrenska University Hospital/Östra, 416 85 Göteborg, Sweden
  3. 3Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON M5T 1P8 Canada
  1. michael.mcgillion@utoronto.ca

    May improve health related quality of life and cut treatment costs

    Refractory angina pectoris is a major clinical problem characterised by unremitting symptoms of angina (equivalent to severity score class III-IV on the Canadian Cardiovascular Society classification), which are resistant to conventional treatments including nitrates, calcium channel and β adrenoceptor blockade, percutaneous coronary interventions, and coronary artery bypass grafting.1 Although there are limitations in current surveillance systems worldwide, estimates from data on revascularisation and hospital admission suggest a prevalence of refractory angina somewhere between 600 000 and 1.8 million in the United States and an incidence of 30-50 000/year in continental Europe.1 2

    Patients with refractory angina experience persistent anginal pain, poor general health status, psychological distress, restriction of activity, and inability to self manage their symptoms—all of which have a negative effect on health related quality of life.1 …

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