sodium-ethylxanthate and Angina-Pectoris

Topics: Adult; Aged; Angina Pectoris; Coronary Disease; Death, Sudden, Cardiac; Diagnosis, Differential; Female; Humans; Male; Middle Aged; Myocardial Infarction; Myocardial Revascularization; Patient Selection; Sex

Topics: Aged; Angina Pectoris; Attitude of Health Personnel; Cardiac Catheterization; Chest Pain; Coronary Disease; Female; Humans; Male; Middle Aged; Patient Simulation; Physicians; Racial Groups; Sex

We analyzed potential gender differences in the use and prognostic value of stress technetium 99m sestamibi tomography, image results, and cardiac event rates over a period of 15 +/- 8 months in 1226 men and 1151 women. Men had more abnormal tomographic images, but referral for catheterization and revascularization similarly increased in relation to the number of defects. Men and women with abnormal images had similar event rates, 19.6% and 18.2%, respectively, although men more often had myocardial infarction or cardiac death (7.6% vs 4.1 %, p < 0.05), whereas women had an increased likelihood of unstable angina or congestive heart failure (11.5% vs 7.6%, p < 0.05). Normal images predicted a low yearly rate of myocardial infarction or death: 1.7% for men and 0.8% for women. Image findings, particularly defect extent, were independent predictors of events in both groups. Thus, after stress Tc-99m sestamibi single-photon emission computed tomography perfusion imaging, there was no gender bias in referral for invasive procedures, and for both men and women image findings were strongly associated with prognostic outcome.

Topics: Angina Pectoris; Angina, Unstable; Cardiac Catheterization; Coronary Disease; Death, Sudden, Cardiac; Dipyridamole; Exercise Test; Female; Follow-Up Studies; Heart Failure; Humans; Male; Middle Aged; Myocardial Infarction; Myocardial Revascularization; Physician-Patient Relations; Predictive Value of Tests; Prognosis; Radiopharmaceuticals; Referral and Consultation; Regression Analysis; Selection Bias; Sex; Sex Factors; Stress, Physiological; Technetium Tc 99m Sestamibi; Tomography, Emission-Computed, Single-Photon; Vasodilator Agents

A descriptive, correlational approach was used to examine the relationship between success with a recommended cardiac lifestyle and satisfaction with a cardiac rehabilitation programme 1 year following completion. The Cardiac Lifestyle Questionnaire (CLQ) and the Programme Satisfaction Questionnaire (PSQ) evaluated success in eight lifestyle dimensions and four satisfaction areas. Seventy-two participants (85.7%) returned questionnaires. Successful lifestyle dimensions included exercise, tobacco, alcohol and weight; diet, stress and hypertension were unsuccessful. Two open-ended programme satisfaction questions revealed that 'caring' and 'individualized' approaches were most favoured by participants. These provide direction for high-quality care in cardiac rehabilitation programmes. Discriminant analysis did not yield a statistically significant separation of groups relative to cardiac lifestyle on the basis of programme satisfaction areas.

Topics: Adult; Aged; Angina Pectoris; Coronary Artery Bypass; Coronary Disease; Discriminant Analysis; Education; Female; Follow-Up Studies; Humans; Life Style; Male; Marital Status; Middle Aged; Myocardial Infarction; Patient Satisfaction; Sex; Surveys and Questionnaires; Time Factors

Topics: Aging; Angina Pectoris; Coronary Disease; Energy Metabolism; Humans; Sex

Topics: Adult; Angina Pectoris; Electrocardiography; Female; Heart; Humans; Male; Middle Aged; Monitoring, Physiologic; Physical Exertion; Sex

Unfounded fears and misconceptions about postcoronary sex can cause much anxiety in an individual and his partner. Hypertension may complicate the clinical picture, and fear of a catastrophic episode may haunt partner as well as patient. Needed medications may further confuse them both by causing chemical impotence or ejaculatory problems in some cases. A good precoronary sexual history can lead to an open dialogue on plans, modifications, and concerns about resuming the patient's sexual exchange upon leaving the hospital. For holistic rehabilitation, good sex information is essential.

Topics: Adolescent; Adult; Angina Pectoris; Antihypertensive Agents; Cerebrovascular Disorders; Coitus; Counseling; Digitalis Glycosides; Diuretics; Female; Heart Diseases; Humans; Hypertension; Libido; Male; Middle Aged; Propranolol; Sex; Sex Education

Topics: Angina Pectoris; Anticoagulants; Evaluation Studies as Topic; Female; Humans; Male; Middle Aged; Myocardial Infarction; Sex

Topics: Adult; Angina Pectoris; Blood Pressure; Body Weight; Cholesterol; Coronary Disease; Death, Sudden; Female; Follow-Up Studies; Humans; Male; Middle Aged; Myocardial Infarction; Obesity; Sex

Topics: Adolescent; Adult; Aged; Aging; Angina Pectoris; Aortic Diseases; Arteries; Arteriosclerosis; Cholesterol; Coronary Disease; Female; Humans; Intracranial Arteriosclerosis; Male; Middle Aged; Myocardial Infarction; Phospholipids; Sex; Thrombosis

Topics: Angina Pectoris; Atrial Fibrillation; Coronary Disease; Diabetes Mellitus; Digitalis Glycosides; Drug Therapy; Electrocardiography; Epidemiology; Female; Geriatrics; Heart Block; Humans; Incidence; Myocardial Infarction; Sex

Topics: Aging; Angina Pectoris; Body Weight; California; Cholesterol; Coronary Disease; Ethnology; Follow-Up Studies; Geriatrics; Humans; Hypertension; Los Angeles; Myocardial Infarction; Sex; Statistics as Topic