Peduzzi and Hultgren reported a questionnaire used to evaluate patients with stable angina. The authors were from the Veterans Administration Cooperative Study of Surgery for Coronary Arterial Occlusive Disease.
Parameters:
(1) severity of angina (frequency, angina at rest or at night, level of activity producing angina)
(2) medication (nitroglycerin, propranolol, long-acting nitrate)
|
Severity of Angina |
Finding |
Points |
|
frequency of angina |
4 or more times a day |
4 |
|
|
1 to 3 times per day |
3 |
|
|
2 or more times per week but not daily |
2 |
|
|
once a week or less |
1 |
|
|
no angina at any time |
0 |
|
rest or nocturnal angina |
yes |
2 |
|
|
no |
0 |
|
level of activity producing angina |
sedentary activity |
3 |
|
|
light activity |
2 |
|
|
heavy activity |
1 |
|
|
no angina even on heavy activity |
0 |
where:
• Sedentary = climbing less than 2 flights of stairs and/or walking < 2 blocks.
• Light activity = climbing less than 2-4 flights of stairs and/or walking 2-5 blocks.
• Heavy activity = climbing 4 or more flights of stairs and/or walking a mile or more.
subscore for severity of angina =
= SUM(points for all 3 parameters)
|
Medication |
Finding |
Points |
|
nitroglycerin |
4 or more times per day |
4 |
|
|
1 to 3 times per day |
3 |
|
|
2 or more times per week but not daily |
2 |
|
|
once a week or less |
1 |
|
|
none for past 2 months |
0 |
|
propranolol |
240 mg per day or more |
4 |
|
|
160 - 239 mg/day |
3 |
|
|
80 - 159 mg/day |
2 |
|
|
1 - 79 mg per day |
1 |
|
|
none |
0 |
|
use of long-acting nitrates |
yes |
1 |
|
|
no |
0 |
subscore for medication =
= SUM(points for all 3 parameters)
total score =
= (points for angina severity) + (points for angina medications)
Interpretation:
• minimum subscore and total score: 0
• maximum subscores: 9
• maximum total score: 18
• The higher the score the more severe the angina.
Specialty: Cardiology
ICD-10: ,
