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Association Between Angina Symptom Characteristics and Obstructive Coronary Artery Disease: A Comparative
Ching-Ching Tsai1,2,3, I-Chang Hsieh4,5,3, Pao-Hsien Chu4,5
1Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan, ROC.
The Journal of Nursing Research : JNR
|August 1, 2025
Summary
Typical angina symptoms, not severity or frequency, are significantly linked to obstructive coronary artery disease (CAD). Comprehensive angina evaluation is crucial for assessing CAD risk in patients.
Area of Science:
- Cardiology
- Medical Diagnostics
Background:
- Angina is a key symptom of coronary artery disease (CAD), influencing treatment strategies.
- Limited research exists on the link between angina characteristics and obstructive CAD.
Purpose of the Study:
- To investigate the association between obstructive CAD and angina symptom characteristics (severity, type, frequency).
Main Methods:
- Cross-sectional analysis of baseline data from 723 patients undergoing coronary angiography.
- Patients categorized into obstructive (≥50% stenosis) and control groups.
- Angina symptoms assessed using the Angina Evaluation Form.
Main Results:
- Typical angina was associated with a higher risk of obstructive CAD (OR=1.97).
- Associations were stronger in younger and male participants.
- No significant relationship found between angina severity and obstructive CAD risk.
Conclusions:
- Angina type, not severity or frequency, is significantly associated with obstructive CAD.
- Comprehensive angina symptom evaluation is vital for CAD risk assessment.
- Further large-scale prospective studies are needed to validate findings.
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