Evidence map›Paper›PMID 40748239›Full record

ArticleThe journal of nursing research : JNR2025

Association Between Angina Symptom Characteristics and Obstructive Coronary Artery Disease: A Comparative Cross-Sectional Study.

Ching-Ching Tsai, I-Chang Hsieh, Pao-Hsien Chu, Ming-Jer Hsieh, Hsin-Fu Lee, Lun-Hui Ho

Abstract readComparative Study
In one paragraph

Article in The journal of nursing research : JNR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ching-Ching TsaiDepartment of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan, ROC.ORCID 0000-0002-8012-5780
I-Chang HsiehDepartment of Cardiology, Heart Failure Center, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC.
Pao-Hsien ChuDepartment of Cardiology, Heart Failure Center, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC.
Ming-Jer HsiehDepartment of Cardiology, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC.ORCID 0000-0002-0148-8357
Hsin-Fu LeeGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC.
Lun-Hui HoDepartment of Nursing Management of the Administration Center, Chang Gung Medical Foundation, Taiwan, ROC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngina, the primary symptom reported by patients with coronary artery disease (CAD), is an essential consideration in CAD treatment strategies and evaluations of treatment efficacy. However, research exploring the relationship between angina symptom characteristics (severity, type, and frequency) and obstructive CAD is scarce. PURPOSE: This study was designed to investigate the association between obstructive CAD and angina symptom severity, type, and frequency.

methodsA cross-sectional approach was used to analyze baseline data from two studies conducted from March 2018 to September 2021 at a medical center in northern Taiwan. The sample comprised 723 patients undergoing invasive coronary angiography for suspected or known CAD. The participants were categorized into obstructive (≥50% stenosis in at least one epicardial artery) and control groups. Angina symptom severity, type, and frequency were assessed using the Angina Evaluation Form.

resultsThe average age of the participants was 60.1 years, and most (83.7%) were male. Nearly three-quarters (73.1%) had Class 1 or 2 angina, 60.3% reported experiencing typical angina, and 46% had angina episodes at least once per week. The results of multiple logistic regression analysis found older age, male sex, history of diabetes, currently smoking, higher low-density lipoprotein levels, lower estimated glomerular filtration rate, and typical angina to be associated with a higher risk of obstructive CAD. Risk of obstructive CAD was twice as high in participants experiencing typical angina symptoms than those experiencing atypical angina symptoms ( OR =1.97, 95% CI=[1.09, 3.54], p =.025). Subgroup analysis findings identified associations to be higher in younger ( OR =2.22, 95% CI=[1.23, 3.99], p =.008) and male ( OR =1.83, 95% CI=[1.08, 3.09], p =.024) participants. Also, the risk of obstructive CAD was higher for those experiencing angina episodes less than twice per week, only in the subgroup of older individuals. No significant relationship between angina symptom severity and risk of obstructive CAD was found. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Angina type, rather than severity or frequency, is significantly associated with obstructive CAD. The findings of this study emphasize the importance of conducting comprehensive angina symptom evaluation in risk assessments on patients with suspected or known CAD. Furthermore, large-scale prospective studies should be conducted in different population groups and settings to validate angina symptoms as a predictor of obstructive CAD.

Indexed as

Angina PectorisCoronary Artery DiseaseAgedCoronary AngiographyCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSeverity of Illness IndexTaiwanangina symptomscoronary artery diseasepredictive modelsrisk assessment

Identifiers

PMID40748239
PMCPMC12466170

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.