J Korean Acad Adult Nurs.  2009 Oct;21(5):477-488.

Cardiovascular Risk Factors Predicting Endothelial Dysfunction in Patients with Variant Angina

• Cho SH
• Hwang SY
• Jeong MH

Abstract

PURPOSE
This study was conducted to identify the clinical characteristics and risk factors on the occurrence of variant angina, and to examine the predicting factors on the vascular endothelial dysfunction of the patients with variant angina.
METHODS
A total of 134 patients diagnosed with variant angina were recruited from 2006 to 2008. The degrees of endothelial dysfunction were measured and recorded by the researcher using the values of flow-mediated vasodilation of their brachial arteries and Nitroglycerine-mediated dilation. Subjects' demographic data and risk factors were gathered after obtaining informed consent, and their electronic medical records were reviewed to collect laboratory data.
RESULTS
The mean age was 54.2 +/- 9.6 years and 52% was male patients. More than 50% of the male patients were cigarette smokers and had hypercholesterolemia. 84% of the male patients and 70% of the female patients had more than one risk factor of cardiovascular disease. A stepwise multiple regression analysis showed that smoking and hypercholesterolemia predicted the decrease of flow-mediated vasodilation (Adjusted R(2) = .204, p < .001).
CONCLUSION
Tailored educational interventions for smoking cessation and cholesterol management are needed to prevent recurrence of angina attack for patients with variant angina and to prevent cardiovascular disease for middle-aged workers.

Keyword

Variant angina pectoris; Smoking; Hypercholesterolemia

MeSH Terms

Angina Pectoris, Variant
Brachial Artery
Cardiovascular Diseases
Cholesterol
Electronic Health Records
Female
Humans
Hypercholesterolemia
Informed Consent
Male
Recurrence
Risk Factors
Smoke
Smoking
Smoking Cessation
Tobacco Products
Vasodilation
Cholesterol
Smoke