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ORIGINAL INVESTIGATION The Prevalence of Weekly Angina Among Patients With Chronic Stable Angina in Primary Care Practices The Coronary Artery Disease in General Practice (CADENCE) Study John F. Beltrame, BSc, BMBS, FRACP, PhD; Andrew J. Weekes, BMedSci, BMBS; Claire Morgan, BPhysio; Rosanna Tavella, BSc(Hons); John A. Spertus, MD, MPH, FACC Background: Angina, the cardinal symptom of coro- compared with those with minimal angina (angina less nary artery disease (CAD), is amenable to a range of thera- than once a week over the preceding 4 weeks). The pro- pies, and its routine assessment is considered a perfor- portion of patients with weekly (1) angina within a clinic mance measure of quality. However, the prevalence of ranged from none (14% of clinics) to more than 50% (18% frequent angina among outpatients with CAD is un- of clinics). Patient characteristics associated with weekly known. (1) angina included female sex (odds ratio [OR], 1.42; 95% CI, 1.13-1.78), a history of heart failure (OR, 1.59; Methods: The Coronary Artery Disease in General Prac- 95% CI, 1.22-2.08), and peripheral artery disease (OR tice (CADENCE) Study utilized a cluster-stratified, cross- 1.89; 95% CI, 1.42-2.51; P.001 for all comparisons). sectional design to examine angina frequency in pa-
JAMA Internal Medicine – American Medical Association
Published: Sep 14, 2009
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