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Published on: December 16, 2022

Association between angina and treatment satisfaction after myocardial infarction

Mary E Plomondon1, David J Magid, Frederick A Masoudi

  • 1Cardiovascular Outcomes Research, Eastern Colorado Health Care System, Denver VA Medical Center, Denver, CO, USA. Meg.Plomondon@va.gov

Journal of General Internal Medicine
|October 24, 2007
PubMed

Insights

Angina after myocardial infarction (MI) significantly lowers patient treatment satisfaction. Effective angina management post-MI is crucial for improving patient care quality.

Area of Science:

  • Cardiology
  • Patient Outcomes Research

Background:

  • Patient satisfaction is a key indicator of healthcare quality.
  • Limited understanding of clinical factors impacting satisfaction after myocardial infarction (MI).

Purpose of the Study:

  • To determine if angina following MI is independently linked to reduced treatment satisfaction.
  • To investigate the association between post-MI angina and patient-reported satisfaction.

Main Methods:

  • Analysis of 1,815 MI patients across 19 U.S. centers.
  • Assessment of angina using the Seattle Angina Questionnaire (SAQ) at 1 and 6 months post-MI.
  • Measurement of treatment satisfaction using the SAQ at 6 months, with multivariable regression analysis.

Main Results:

  • 62% of patients experienced no angina at 1 and 6 months.
  • 13% had persistent angina, and 11% developed new angina within 6 months.
  • Both new and persistent angina were strongly associated with lower treatment satisfaction (p < 0.001).

Conclusions:

  • Angina affects nearly 25% of patients within 6 months of MI.
  • Post-MI angina is a significant predictor of decreased treatment satisfaction.
  • Prioritizing angina surveillance and management can enhance patient satisfaction and overall care quality.
Abstract

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