Angina Circulatory System Angina
Conditions
Interventions
Participants will be randomised to receive:
1. A 15 minute follow-up appointment with adjunctive written materials and routine medical care
2. Lay-led Angina Management Programme and routine medical c
Sponsors
University of York (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients receiving a diagnosis of angina following symptom-limited exercise treadmill test, thallium scintigraphy or angiography and not, in the judgement of the cardiologist, requiring urgent coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA).
Exclusion criteria
Exclusion criteria: 1. Exercise induced arrhythmias or loss of systolic BP greater than 20 mmHg during exercise stress testing 2. Self-report of rapidly increasing number and duration of attacks of angina 3. A score of 4 on the Canadian Heart Association classification of angina or the New York Heart Association (NYHA) classification of heart failure 4. Myocardial infarction still awaiting cardiac rehabilitation 5. Life-threatening co-morbidities 6. Documented psychiatric problems (other than mild to moderate uni-polar depression or a simple anxiety state) 7. Dementia or confusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of angina as measured using a patient held angina diary (mean number of angina episodes per week). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will include differences between baseline and six-month follow-up on: Euroaction SCORE of cardiovascular disease (CVD) risk, scales of the Seattle Angina Questionnaire, anxiety and depression scores on the HADS, increased activity levels as measured by a weeks ambulatory monitoring and self-rated activity level, economic cost utility including service use, cost of the intervention, and the EQ-5D. | — |
Countries
United Kingdom
Outcome results
None listed