{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T23:01:33Z","timestamp":1772751693599,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2016,6,13]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Angina is common both before and after myocardial infarction (\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              ). Whether the change in angina status within the first 30\u00a0days after\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              is associated with subsequent readmission and angina persistence is unknown.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We studied 2915\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              patients enrolled at 24 hospitals in the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients\u2019 Health Status (TRIUMPH) registry. Angina before and 30\u00a0days after\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              was assessed with the Seattle Angina Questionnaire. Patients were divided into angina\u2010free pre\u2010 and post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              (\u2212\/\u2212), resolved angina (+\/\u2212), new angina (\u2212\/+), and persistent angina (+\/+) groups. Multivariable proportional hazards and hierarchical modified Poisson models were performed to assess the association of each group with all\u2010cause readmission, readmission for\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              or unplanned revascularization, and angina persistence at 1\u00a0year. Overall, 1293 patients (44%) had angina before their\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              and 849 (29%) reported angina within 30\u00a0days of discharge. Patients with post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              angina were more likely to be younger, nonwhite, and uninsured. Compared with patients who were angina\u2010free pre\u2010 and post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              , 1\u2010year all\u2010cause readmission risks were significantly higher for patients with persistent angina (hazard ratio [\n              <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n              ], 1.35; 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              1.06\u20131.71) or new angina (\n              <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n              , 1.40; 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.08\u20131.82). At 1\u00a0year, angina was present in 22% of patients and was more likely if angina was persistent (\n              <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n              , 3.55; 95% CI, 3.05\u20134.13) or new (\n              <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n              , 3.38; 95% CI, 2.59\u20134.42) at 30\u00a0days compared with patients who were angina\u2010free pre\u2010 and post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              .\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              angina, whether new or persistent, is associated with higher likelihood of readmission. Prioritizing post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              angina management is a potential means of improving 1\u2010year outcomes.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.116.003205","type":"journal-article","created":{"date-parts":[[2016,6,14]],"date-time":"2016-06-14T03:00:59Z","timestamp":1465873259000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Change in Angina Symptom Status After Acute Myocardial Infarction and Its Association With Readmission Risk: An Analysis of the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients' Health Status (TRIUMPH) Registry"],"prefix":"10.1161","volume":"5","author":[{"given":"Jacob A.","family":"Doll","sequence":"first","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC"},{"name":"Department of Medicine, Duke University, Durham, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengming","family":"Tang","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"},{"name":"University of Missouri\u2013Kansas City, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Cresci","sequence":"additional","affiliation":[{"name":"Department of Medicine, Washington University School of Medicine, St. Louis, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. Michael","family":"Ho","sequence":"additional","affiliation":[{"name":"VA Eastern Colorado Health Care System, Denver, CO"},{"name":"University of Colorado School of Medicine, Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Maddox","sequence":"additional","affiliation":[{"name":"VA Eastern Colorado Health Care System, Denver, CO"},{"name":"University of Colorado School of Medicine, Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Spertus","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"},{"name":"University of Missouri\u2013Kansas City, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC"},{"name":"Department of Medicine, Duke University, Durham, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(03)00256-4"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2003.177"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2002.119894"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.108.829523"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2010.12.005"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.12.1310"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.01.099"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1561"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h411"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.114.001352"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.957498"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.960468"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)00397-9"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.113.000752"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.216476"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.116.003205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:52:55Z","timestamp":1715597575000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.116.003205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,13]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6,13]]}},"alternative-id":["10.1161\/JAHA.116.003205"],"URL":"https:\/\/doi.org\/10.1161\/jaha.116.003205","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,13]]},"assertion":[{"value":"2016-01-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e003205"}}