AMP: The development and evaluation of a Lay-facilitated Angina Management Programme
- Conditions
- Circulatory SystemAngina
- Registration Number
- ISRCTN03137160
- Lead Sponsor
- niversity of York (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 200
All patients receiving a diagnosis of angina following symptom-limited exercise treadmill test, thallium scintigraphy or angiography and not, in the judgement of the cardiologist, requiring urgent coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA).
1. Exercise induced arrhythmias or loss of systolic BP greater than 20 mmHg during exercise stress testing
2. Self-report of rapidly increasing number and duration of attacks of angina
3. A score of 4 on the Canadian Heart Association classification of angina or the New York Heart Association (NYHA) classification of heart failure
4. Myocardial infarction still awaiting cardiac rehabilitation
5. Life-threatening co-morbidities
6. Documented psychiatric problems (other than mild to moderate uni-polar depression or a simple anxiety state)
7. Dementia or confusion
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Frequency of angina as measured using a patient held angina diary (mean number of angina episodes per week).
- Secondary Outcome Measures
Name Time Method Secondary outcomes will include differences between baseline and six-month follow-up on: Euroaction SCORE of cardiovascular disease (CVD) risk, scales of the Seattle Angina Questionnaire, anxiety and depression scores on the HADS, increased activity levels as measured by a weeks ambulatory monitoring and self-rated activity level, economic cost utility including service use, cost of the intervention, and the EQ-5D.