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American Journal of Epidemiology Vol. 122, No. 3: 477-484
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health

research-article

ANGINA SCORING METHOD IN THE VETERANS ADMINISTRATION RANDOMIZED STUDY OF BYPASS SURGERY

PETER PEDUZZI1, and HERBERT HULTGREN2

1Cooperative Studies Program Coordinating Center, Veterans Administration Medical Center West Haven, CT 06516
2Veterans Administration Medical Center Palo Alto, CA

Reprint requests to Dr. Peduzzi at this address.

An angina scoring method was designed in the Veterans Administration Coronary Artery Bypass Surgery Study in 1973 to evaluate the effect of medical versus surgical therapy on relief of angina. The score measures the frequency of angina, type of activity producing angina, and use of medications. The score is based on objective responses to specific questions, is easy to compute, and is designed to be administered by a physician familiar with symptoms of angina and coronary artery disease. In this report, the authors evaluate the reproducibiltty, validity, and utility of the angina score in Veterans Administration study patients. Extensions of the scoring method to include newer cardiac drugs and comparison with other methods of grading the severity of angina are also discussed.

angina pectoris; aortocoronary bypass; coronary disease; quality of life


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