Home | Free 14-Day Trial | Tutorial | Help
   Print   Email   Bookmark          More
Medical Disability Advisor  >  Angina Pectoris  >  Failure To Recover

Angina Pectoris

Related Terms

  • Angina
  • Angina Attack
  • Angina Syndrome
  • Cardiac Angina
  • Exertion Angina
  • Stable Angina
  • Vasomotor Angina

Differential Diagnoses

Specialists

  • Cardiovascular Internist

Comorbid Conditions

Sign-in as a subscriber or take a free trial to see the renowned Reed Group physiological recovery durations in place of this advertising.

Factors Influencing Duration

The ability to return to work depends on the type and outcome of treatment, severity of residual symptoms, other medical conditions, and demands of the individual's occupation. The individual's willingness to address correctable risk factors such as smoking, sedentary lifestyle, and obesity will influence the length of disability. For some individuals, cardiac rehabilitation may facilitate return to optimal function.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 413, 413.9  
CasesMeanMinMaxNo Lost TimeOver 6 Months
20555103050.2%3.8%
 
  
 
Percentile:5th25thMedian75th95th
Days:6143171167
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
411.1 - Intermediate Coronary Syndrome; Impending Infarction; Preinfarction Angina; Preinfarction Syndrome; Unstable Angina
413 - Angina Pectoris
413.1 - Prinzmetals Angina; Variant Angina Pectoris
413.9 - Angina Pectoris, Other and Unspecified

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does individual have a history of coronary artery disease? Other risk factors for angina? Is there a family history of heart disease?
  • Does individual describe pressure, heaviness, or a weight-like sensation in the area beneath the sternum? Does the pain radiate? If so, is it radiating across the chest, down one or both arms, and extending to the fingers? Does it radiate to the back, between the shoulder blades, upper abdomen, neck, earlobes, or jaw?
  • Does individual experience shortness of breath, heavy sweating (diaphoresis), nausea, or vomiting?
  • Was pain initiated by exercise, stress, eating a heavy meal, or exposure to cold and wind? Did it last 30 seconds to 15 minutes but no longer?
  • Does individual take nitroglycerine? If so, was pain relieved after nitroglycerine was taken?
  • Was a resting electrocardiogram (ECG) done? Did it reveal any abnormalities or changes?
  • Was a graded exercise stress test done? Was individual able to complete the test? Were abnormalities or changes noted on the stress test ECG?
  • Has individual worn an ambulatory Holter monitor to record the ECG for a 24-hour period?
  • Have perfusion scintigraphy, radionuclide angiography, or 2-dimensional echocardiography been performed?
  • Was selective coronary angiography required to confirm the diagnosis?
  • Was the diagnosis of angina pectoris confirmed?

Regarding treatment:

  • Does individual sit down as soon as discomfort begins and remains quiet until pain stops?
  • Does nitroglycerin placed under the tongue (sublingually) relieve pain within several minutes? Does individual keep nitroglycerin on hand at all times?
  • Does individual know that if pain is not relieved by a repeat dose, emergency medical attention is needed?
  • Does individual take long-acting nitrates, beta-blocking agents, and/or calcium channel blockers? What about enteric-coated aspirin, angiotensin-converting enzyme inhibitors, or estrogen therapy?
  • Is individual compliant with all medication regimens? Would a change in medication be helpful?
  • Has individual made required lifestyle and diet changes?
  • Could individual benefit from a less demanding job situation, either physically or emotionally? Would individual benefit from participation in a cardiac rehabilitation program?

Regarding prognosis:

  • Has individual developed worsening symptoms (unstable angina)?
  • How severe is the ischemia and how many vessels are involved?
  • Does the individual have a complex cardiac arrhythmia?
  • How well is the heart functioning?
  • Has individual modified risk factors? Does individual understand the consequences of not modifying risk factors?
  • Did individual undergo PTCA and/or implantation of a self-expanding device into the vessel at the site of occlusion (coronary stent)? To what extent has individual improved?
  • Have the vessels become blocked again (restenosis)? Will PTCA or coronary stent reopen the vessels or will individual require coronary artery bypass graft (CABG) surgery?
  • Have any complications occurred such as heart attack or arrhythmia?

Source: Medical Disability Advisor


Feedback
Send us comments, suggestions, corrections, or anything you would like us to hear. If you are not logged in, you must include your email address, in order for us to respond. We cannot, unfortunately, respond to every comment. If you are seeking medical advice, please contact your physician. Thank you!
Send this comment to:
Sales Customer Support Content Development
 
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is published with the understanding that the author, editors, and publisher are not engaged in rendering medical, legal, accounting or other professional service. If medical, legal, or other expert assistance is required, the service of a competent professional should be sought. We are unable to respond to requests for advice. Any Sales inquiries should include an email address or other means of communication.