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Chest pain lingers following MI

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Nearly 20% of patients still experience angina one year after having a myocardial infarction, according to US researchers.

They studied angina occurrence in 1,957 MI patients over an 18-month period. Of these, 389 reported angina one year after their MI, of which 24 reported daily chest pain and 59 weekly chest pain.

Subjects who still experienced angina were more likely to be younger patients who had previously undergone coronary artery bypass graft surgery or revascularisation. Additionally, those who had failed to give up smoking or had symptoms of depression were also more likely to report angina, the authors said.

‘Future investigation into modifiable factors, such as depression and smoking cessation, will be important in the quest to alleviate angina and improve subsequent cardiac outcomes among patients after myocardial infarction,’ they said.

Archives of Internal Medicine 2008) 168: 1310-1316

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