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. 2000 Oct;15(10):685–693. doi: 10.1046/j.1525-1497.2000.91139.x

Knowledge Questionnaire

1. Coronary artery disease is cause by plaques (deposits) that block the blood vessels which surround and supply the heart muscle (the coronary arteries).
2. Coronary artery disease does not cause serious complications such as heart attack or death.
3. Coronary artery disease itself can be cured by a number of treatments including angioplasty and bypass surgery.
4. Most patients who choose ongoing medical therapy alone are often able to discontinue their medication after a few years.
5. Medical therapy is almost always successful in completely relieving angina.
6. By choosing medical therapy now, a person will be unable to have either bypass surgery or angioplasty in the future.
7. Possible side effects from medical therapy include fatigue, headache, decreased concentration, and sexual dysfunction.
8. During surgery the blocked coronary arteries are bypassed, commonly using blood vessels from the leg and chest.
9. Most patients who undergo bypass surgery are hospitalized for fewer than 5 days.
10. Each treatment option carries with it some risk of stroke, heart attack, or death.
11. After bypass surgery or antioplasty. “lifestyle” changes (e.g., diet, smoking cessation, regular exercise) are not as important as when medical therapy is used.
12. If bypass surgery “works” and the patient has no angina 1 month later, this means that it is unlikely that the angina will ever return.
13. When compared with medical therapy, bypass surgery has a higher risk of immediate complications (such as heart attack, stroke, or death).
14. Bleeding requiring a blood transfusion may occur with bypass surgery.
15. After bypass surgery, some patients experience difficulty concentrating and some memory loss, which usually resolves.
16. Angioplasty is similar to an angiogram, but is a more complicated procedure which involves inflating a balloon to open up a blocked artery.
17. If angioplasy “works” and the patient has no angina 1 month later, this means that it is unlikely that the angina will ever return.
18. When compared with medical therapy, angioplasty has a higher risk of immediate complications (such as heart attack, stroke, or death).
19. Some angioplasty patients may require repeat angioplasty or even bypass surgery in the future.
20. Occasionally an artery can be damaged during angioplasty and emergency bypass surgery is required.
Response frame for questions 1 to 20
 1. True 2. False 3. Don't know

*Reduced to 15 items if angioplasty is not an option.