Association Between Angina and Treatment Satisfaction after Myocardial Infarction

Mary E. Plomondon; David J. Magid; Frederick A. Masoudi; Philip G. Jones; Lisa C. Barry; Edward Havranek; Eric D. Peterson; Harlan M. Krumholz; John A. Spertus; John S. Rumsfeld; Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER) Investigators

doi:10.1007/s11606-007-0430-y

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Association Between Angina and Treatment Satisfaction after Myocardial Infarction

Journal article

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Association Between Angina and Treatment Satisfaction after Myocardial Infarction

Mary E. Plomondon, David J. Magid, Frederick A. Masoudi, Philip G. Jones, Lisa C. Barry, Edward Havranek, Eric D. Peterson, Harlan M. Krumholz, John A. Spertus, John S. Rumsfeld, …

Journal of general internal medicine : JGIM, Vol.23(1), pp.1-6

10/23/2007

DOI: 10.1007/s11606-007-0430-y

PMCID: PMC2173926

PMID: 17955303

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Abstract

BACKGROUND Patient satisfaction is increasingly recognized as a quality indicator and important outcome of care. Little is known about the clinical factors associated with satisfaction after myocardial infarction (MI). OBJECTIVE To assess the hypothesis that angina after MI is independently associated with lower treatment satisfaction. METHODS We evaluated 1,815 MI patients from 19 U.S. centers. Angina was measured at 1 and 6 months after MI using the Seattle Angina Questionnaire (SAQ). Treatment satisfaction was measured using the SAQ at 6 months. Multivariable regression was used to evaluate the association between 1- and 6-month angina and 6-month treatment satisfaction. RESULTS Sixty-two percent of patients had no angina at 1 and 6 months after MI, 14% had transient angina (angina at 1 month, no angina at 6 months), 11% had new angina (angina at 6 months only), and 13% had persistent angina (angina at both 1 and 6 months). In unadjusted analysis, the presence of angina at 6 months, whether new or persistent, was associated with lower treatment satisfaction (p < 0.001). In multivariable analysis, angina was associated with lower treatment satisfaction [relative risk (RR) 2.9, 95%confidence interval (CI) 2.4–3.5 patients with new angina; RR 3.1, 95%CI 2.5–3.9 patients with persistent angina, vs patients with no angina]. CONCLUSIONS In conclusion, angina in the 6 months following MI is present in almost 1 in 4 patients and is strongly associated with lower treatment satisfaction. This suggests the importance of angina surveillance and management after MI as a possible target to improve treatment satisfaction and, thereby, quality of care.

angina

myocardial infarction

Original

treatment satisfaction

Details

Title: Subtitle: Association Between Angina and Treatment Satisfaction after Myocardial Infarction
Creators: Mary E. Plomondon - Denver VA Medical Center
David J. Magid - Kaiser Permanente
Frederick A. Masoudi - Denver Health Medical Center
Philip G. Jones - American Heart Institute
Lisa C. Barry - Yale University
Edward Havranek - Denver Health Medical Center
Eric D. Peterson - Duke Medical Center
Harlan M. Krumholz - Yale University
John A. Spertus - American Heart Institute
John S. Rumsfeld - Denver VA Medical Center
Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER) Investigators
Contributors: Richard M Hoffman (Contributor) - University of Iowa, Internal Medicine
Resource Type: Journal article
Publication Details: Journal of general internal medicine : JGIM, Vol.23(1), pp.1-6
DOI: 10.1007/s11606-007-0430-y
PMID: 17955303
PMCID: PMC2173926
NLM abbreviation: J Gen Intern Med
ISSN: 0884-8734
eISSN: 1525-1497
Publisher: Springer-Verlag
Language: English
Date published: 10/23/2007
Academic Unit: Epidemiology; General Internal Medicine; Internal Medicine
Record Identifier: 9984359945802771

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