Epidemiología de la angina estable y comorbilidad

Prevalence of Stable Angina in Spain. Results of the OFRECE Study

“…Together, both aspects have probably reduced age-adjusted cardiovascular morbidity and mortality in developed countries. [17][18][19][20][21] In the present study, only 24% of revascularized patients or those who have had an ACS event were symptomatic. This decreased prevalence in Spain is also seen when we compare our prevalence results with those of the REGICOR study, 9 published in 1998 (2.6% vs 3.5%).…”

“…8 This questionnaire is useful because it shows a good correlation with cardiovascular morbidity and mortality 11,12 and has been validated and used in many countries, allowing comparisons with other historical Spanish series and data from other countries. 16,17 As in most studies, angina was only considered diagnosed when expected, the frequency of CVRFs or diseases related to arteriosclerosis was significantly higher in patients with angina. Regardless of the definition used, the prevalence of angina seen in the OFRECE study was much lower than that detected in the other large study of the prevalence of angina carried out more than 15 years ago in Spain (the PANES study).…”

“…On the other hand, therapeutic advances and more aggressive management strategies of ACS and stable angina mean that fewer and fewer patients end up with residual angina. 6,7,17 Undoubtedly, the primary and secondary prevention efforts made by society and health care systems against cardiovascular diseases have also helped to reduce the prevalence of angina. Together, both aspects have probably reduced age-adjusted cardiovascular morbidity and mortality in developed countries.…”

“…The decreased prevalence of stable angina is in accordance with the trends seen in the epidemiology of coronary disease in Spain 22,23 and in the rest of the developed world. [17][18][19][20][21] This study permitted an estimate of the clinical situation facing patients with chronic coronary disease. For the first time in Spain, the workload can also be estimated: it is clearly high, with more than 1 150 000 patients with history of ischemic heart disease; about 24% of these would have asymptomatic angina.…”

Prevalencia de angina estable en España. Resultados del estudio OFRECE

“…En la mayoría de los estudios se ha utilizado el cuestionario de Rose 11 , con limitaciones, pero recomendado por la Organizació n Mundial de la Salud para estudios epidemioló gicos 12 y validado en Españ a 8 . Su utilizació n tiene numerosas ventajas, puesto que muestra buena correlació n con la morbimortalidad cardiovascular 11,12 y se ha validado y utilizado en muchos países, lo que permite comparaciones con otras series histó ricas en Españ a y con datos de otros países 16,17 exigir la confirmació n diagnó stica de un cardió logo o historia documentada de haber experimentado un SCA o una intervenció n de revascularizació n coronaria. Son pocos los estudios que han utilizado criterios má s exhaustivos, y ademá s estos han sido muy variables, lo que dificulta hacer comparaciones.…”