Original articlePitfalls in the serial assessment of cardiac functional status: How a reduction in “ordinary” activity may reduce the apparent degree of cardiac compromise and give a misleading impression of improvement☆
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Cited by (78)
Refractory Angina
2018, Chronic Coronary Artery Disease: A Companion to Braunwald's Heart DiseaseRefractory Angina
2017, Chronic Coronary Artery Disease: A Companion to Braunwald's Heart DiseaseBlood pressure control and perceived health status in African Americans with subclinical hypertensive heart disease
2014, Journal of the American Society of HypertensionCitation Excerpt :Patients were identified in the ED using the facility's electronic medical record (FirstNet by Cerner Corp, Kansas City, MO, USA). Patients 35 years of age or older who had an initial and repeat (within 1 hour) BP >140/90 mm Hg, and normal exertional tolerance (defined as class 1 on the Goldman Specific Activity Scale)16,17 were eligible for inclusion. Patients with acute illness requiring hospitalization, any history of cardiac disease, or any presentation with symptoms potentially attributable to hypertensive heart disease (ie, dyspnea, chest pain) were excluded.
ACCF 2012 health policy statement on patient-centered care in cardiovascular medicine: A report of the American College of Cardiology Foundation Clinical Quality Committee
2012, Journal of the American College of CardiologyCitation Excerpt :In fact, such assessments have been explicitly endorsed as performance measures in coronary disease and HF (62,63). Although traditional techniques have included physicians' interpretation of patients' health status with the Canadian Cardiovascular Society classification system for angina (64) and the New York Heart Association classification for HF (65), these have been demonstrated to have poor inter-rater reliability (66–69). More recently, disease-specific, patient-reported outcome measures have been developed that enable patients to report their health status in valid, reproducible, and sensitive metrics (25).
Clinical and research issues regarding chronic advanced coronary artery disease Part II: Trial design, outcomes, and regulatory issues
2008, American Heart JournalCitation Excerpt :The Mediators of Social Support Study investigators proposed that patients were enrolled during the nadir in their clinical course and that the fluctuating nature of angina explained the apparent improvement in nonrevascularized patients.10 As their symptoms progress, patients may restrict their level of activity to minimize their symptoms.12 Alternatively, patients may adapt to an efficient antiangina medication by increasing their activity level, leading to a similar rate of angina attacks as before the medication was initiated.
Disease-specific quality of life in primary care patients with heart failure
2007, Zeitschrift fur Arztliche Fortbildung und Qualitatssicherung
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Supported in part by a Grant (18-P-97517/1-01) from the Health Care Financing Administration. Dr Goldman is the recipient of a Teaching and Research Scholarship of the American College of Physicians.