Title

Correlates of angina pectoris among men awaiting coronary by-pass surgery

UMMS Affiliation

Department of Family Medicine and Community Health

Publication Date

1983-5

Document Type

Article

Subjects

Adult; Aged; Angina Pectoris; Coronary Angiography; Coronary Artery Bypass; Exertion; Fatigue; Humans; Life Change Events; Male; Middle Aged; Personal Satisfaction; Sleep Disorders; Smoking; Social Support

Disciplines

Community Health and Preventive Medicine | Preventive Medicine | Primary Care

Abstract

Biomedical, behavioral, and psychological correlates of angina pectoris were identified in 204 men awaiting coronary artery by-pass graft surgery. Angina was rated by use of a precoded series of interview questions. Four circumstances of anginal symptoms were investigated: exertional, emotional, post-prandial, and while resting or sleeping. These were uncorrelated with one another, except for exertional and post-prandial. Two-thirds of these patients experienced angina less often than daily in the most recent unrestricted month. Severity of coronary artery obstruction was not positively associated with frequency or severity of any type of angina, and were primarily behavioral and psychological. Disturbances of sleep, physical inactivity, history of cigarette smoking, distressed response to life crises, life dissatisfactions, hostility, use of propranolol, duration of cardiac illness, and age were among the predictors in the multiple regression equations. These results from selected by-pass candidates may apply more directly to such persons than to unselected community residents reporting angina symptoms. The findings suggest the need for greater focus on sources of variability in myocardial oxygen supply and demand in understanding the dynamics of angina episodes.

Source

Psychosom Med. 1983 May;45(2):141-53.

Journal/Book/Conference Title

Psychosomatic medicine

Related Resources

Link to article in PubMed

PubMed ID

6602995

Link to Full Text

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