Research ExplorerPublicationsClinical care for patients with recurrent myocardial ischemi...

Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial

Standard

Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial. / Berliner, Dominik; Maier, Lars S; Wollenberg, Ulrike; Limberg, Roger; Schmitto, Jan D; Westermann, Dirk; Bauersachs, Johann.

In: J THORAC DIS, Vol. 10, No. Suppl 15, 06.2018, p. 1777-1784.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Berliner, D, Maier, LS, Wollenberg, U, Limberg, R, Schmitto, JD, Westermann, D & Bauersachs, J 2018, 'Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial', J THORAC DIS, vol. 10, no. Suppl 15, pp. 1777-1784. https://doi.org/10.21037/jtd.2017.10.123

APA

Berliner, D., Maier, L. S., Wollenberg, U., Limberg, R., Schmitto, J. D., Westermann, D., & Bauersachs, J. (2018). Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial. J THORAC DIS, 10(Suppl 15), 1777-1784. https://doi.org/10.21037/jtd.2017.10.123

Vancouver

Berliner D, Maier LS, Wollenberg U, Limberg R, Schmitto JD, Westermann D et al. Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial. J THORAC DIS. 2018 Jun;10(Suppl 15):1777-1784. https://doi.org/10.21037/jtd.2017.10.123

Bibtex

@article{d3be998e01d64516bfa4bbf4de3989c0,
title = "Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial",
abstract = "Background: Chronic ischemic heart disease is frequent and represents the most common cause of death in western countries. Angina pectoris, the clinical symptom of myocardial ischemia, is associated with increased morbidity and mortality also in patients without obstructive coronary artery disease. The aim of this study was to investigate the current care of patients with recurrent myocardial ischemia after ruling out significant coronary stenosis in the setting of outpatient care.Methods: Data were obtained by a detailed and structured survey. German cardiologists in outpatient care were interviewed about the management and treatment of outpatients with recurrent angina pectoris after ruling out significant stenoses by coronary angiography. Items were analysed using rating scales [1-10] by means of descriptive methods. Absolute and relative frequency distribution was calculated for the characterisation of qualitative data and multiple-choice questions.Results: The interviews of 731 cardiologic experts could be included in this analysis. The main results showed that history taking seems to be one major problem in those patients-more than 10% of the expert cardiologists admit that they do not perform a detailed history taking of patients with recurrent angina pectoris. While a classification of the symptoms by means of the CCS classification is rated as important such a classification is not used on a regular basis. Extra-cardiac causes are frequently not excluded before performing coronary angiography (>10% of the cases). A significant fraction (20%) of German cardiologists does not consider the initiation of a specific, antianginal medical treatment as their objective.Conclusions: The trial revealed deficiencies in the history taking, the proper classification of the symptoms, and the initiation of an adequate drug therapy in patients with recurrent angina pectoris after exclusion of significant coronary stenoses.",
author = "Dominik Berliner and Maier, {Lars S} and Ulrike Wollenberg and Roger Limberg and Schmitto, {Jan D} and Dirk Westermann and Johann Bauersachs",
year = "2018",
month = jun,
doi = "10.21037/jtd.2017.10.123",
language = "English",
volume = "10",
pages = "1777--1784",
journal = "J THORAC DIS",
issn = "2072-1439",
publisher = "Pioneer Bioscience Publishing Company (PBPC)",
number = "Suppl 15",

}

RIS

TY - JOUR

T1 - Clinical care for patients with recurrent myocardial ischemia in Germany-the VOICES trial

AU - Berliner, Dominik

AU - Maier, Lars S

AU - Wollenberg, Ulrike

AU - Limberg, Roger

AU - Schmitto, Jan D

AU - Westermann, Dirk

AU - Bauersachs, Johann

PY - 2018/6

Y1 - 2018/6

N2 - Background: Chronic ischemic heart disease is frequent and represents the most common cause of death in western countries. Angina pectoris, the clinical symptom of myocardial ischemia, is associated with increased morbidity and mortality also in patients without obstructive coronary artery disease. The aim of this study was to investigate the current care of patients with recurrent myocardial ischemia after ruling out significant coronary stenosis in the setting of outpatient care.Methods: Data were obtained by a detailed and structured survey. German cardiologists in outpatient care were interviewed about the management and treatment of outpatients with recurrent angina pectoris after ruling out significant stenoses by coronary angiography. Items were analysed using rating scales [1-10] by means of descriptive methods. Absolute and relative frequency distribution was calculated for the characterisation of qualitative data and multiple-choice questions.Results: The interviews of 731 cardiologic experts could be included in this analysis. The main results showed that history taking seems to be one major problem in those patients-more than 10% of the expert cardiologists admit that they do not perform a detailed history taking of patients with recurrent angina pectoris. While a classification of the symptoms by means of the CCS classification is rated as important such a classification is not used on a regular basis. Extra-cardiac causes are frequently not excluded before performing coronary angiography (>10% of the cases). A significant fraction (20%) of German cardiologists does not consider the initiation of a specific, antianginal medical treatment as their objective.Conclusions: The trial revealed deficiencies in the history taking, the proper classification of the symptoms, and the initiation of an adequate drug therapy in patients with recurrent angina pectoris after exclusion of significant coronary stenoses.

AB - Background: Chronic ischemic heart disease is frequent and represents the most common cause of death in western countries. Angina pectoris, the clinical symptom of myocardial ischemia, is associated with increased morbidity and mortality also in patients without obstructive coronary artery disease. The aim of this study was to investigate the current care of patients with recurrent myocardial ischemia after ruling out significant coronary stenosis in the setting of outpatient care.Methods: Data were obtained by a detailed and structured survey. German cardiologists in outpatient care were interviewed about the management and treatment of outpatients with recurrent angina pectoris after ruling out significant stenoses by coronary angiography. Items were analysed using rating scales [1-10] by means of descriptive methods. Absolute and relative frequency distribution was calculated for the characterisation of qualitative data and multiple-choice questions.Results: The interviews of 731 cardiologic experts could be included in this analysis. The main results showed that history taking seems to be one major problem in those patients-more than 10% of the expert cardiologists admit that they do not perform a detailed history taking of patients with recurrent angina pectoris. While a classification of the symptoms by means of the CCS classification is rated as important such a classification is not used on a regular basis. Extra-cardiac causes are frequently not excluded before performing coronary angiography (>10% of the cases). A significant fraction (20%) of German cardiologists does not consider the initiation of a specific, antianginal medical treatment as their objective.Conclusions: The trial revealed deficiencies in the history taking, the proper classification of the symptoms, and the initiation of an adequate drug therapy in patients with recurrent angina pectoris after exclusion of significant coronary stenoses.

U2 - 10.21037/jtd.2017.10.123

DO - 10.21037/jtd.2017.10.123

M3 - SCORING: Journal article

C2 - 30034852

VL - 10

SP - 1777

EP - 1784

JO - J THORAC DIS

JF - J THORAC DIS

SN - 2072-1439

IS - Suppl 15

ER -