Improving quality of life in patients with angina

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Abstract
Both coronary artery bypass grafting and angioplasty provide worthwhile reductions in symptoms and reduce early mortality in selected patients. The relative merits of each procedure are likely to be debated for some time but, whatever the final consensus, without a huge increase in resources, neither intervention will help most angina patients. In the UK there are approximately 1.6 million people with angina,2 of whom approximately 20% are referred to secondary care3 and 2% receive surgery or angioplasty each year.2 The long waiting lists for referral to secondary care, the scarcity of cardiologists, and an aging population make it likely that, for some time to come, the vast majority of patients with angina will remain unknown to secondary care and will not be considered for surgery or angioplasty.

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