Angina Plan & Angioplasty Plan




Price List

Contact us

The Angina Plan   The Angina Plan


Lewin RJP, Furze G, Robinson J, Griffith K, Wiseman S, Pye M, Boyle R.

A randomised controlled trial of a self-management plan for patients with newly diagnosed angina.

British Journal of General Practice 2002;52:194-201


There are approximately 1.8 million patients with angina in the United Kingdom, many of whom report a poor quality of life, including raised levels of anxiety and depression.


To evaluate the effect of a cognitive behavioural disease management programme, the Angina Plan, on psychological adjustment in patients newly diagnosed with angina pectoris.

Design of Study:

Randomised controlled trial.


Patients were recruited from GP practices in a Northern UK city (York) between April 1999 and May 2000.


Recruited patients were randomised to receive the Angina Plan or to a routine, practice nurse-led, secondary prevention educational session.


Twenty of the 25 practices invited to join the study supplied patients' names; 142 patients attended an assessment clinic and were randomised. There were no significant differences in any baseline measures. At the 6 month post-treatment follow-up, 130 (91%) patients were reassessed. When compared with the educational session patients (using analysis of covariance adjusted for baseline scores in an intention-to-treat analysis) Angina Plan patients showed a greater reduction in; anxiety (P=0.05) and depression (P = 0.01), the frequency of angina (reduced by three episodes per week, versus a reduction of 0.4 per week, P=0.016) the use of glyceryl trinitrate (reduced by 4.19 fewer doses per week versus a reduction of 0.59 per week, P=0.018), and physical limitations (P<0.001:Seattle Angina Questionnaire). They were also more likely to report having changed their diet (41 versus 21, P<0.001) and increased their daily walking (30 versus 2, P<0.001). There was no significant difference between the groups on the other sub-scales of the Seattle Angina Questionnaire or in any of the medical variables measured.


The Angina Plan appears to improve the psychological, symptomatic and functional status of patients newly diagnosed with angina.

© British Journal of General Practice 2002;52:194-201

Home | Evidence | Training | Price List | Contact us