Phenotype Library | phenotype: Unstable Angina

Unstable Angina

Kuan V, Denaxas S, Gonzalez-Izquierdo A, Direk K, Bhatti O, Husain S, Sutaria S, Hingorani M, Nitsch D, Parisinos C, Lumbers T, Mathur R, Sofat R, Casas JP, Wong I, Hemingway H, Hingorani A

PH329

Version ID

658

Type

Disease or Syndrome

Data Sources

CPRD GOLD , HES Admitted Patient Care data for CPRD GOLD

Valid event data range

01/01/1999 - 01/07/2016

Sex

♀ Female ♂ Male

Agreement Date

2019-05-20

Coding system

Read codes v2 ICD10 codes Med codes

Collections

CALIBER Phenotype Library

Definition

Use MODIFIED CALIBER 'Unstable Angina' phenotyping algorithm:

At the specified date, a patient is considered to have had 'Unstable Angina' IF they meet the criteria for any of the following on or before the specified date:

A hospitalization with the non-specific diagnosis of 'angina' as the primary diagnosis, where there is no procedure giving a reason for admission (PCI or CABG), is considered to be 'Unstable Angina'.

The earliest date on which the individual meets any of the following criteria on or before the specified date is defined as the first event date:

Primary care

a) Diagnosis of 'Unstable Angina'; unangina_gprd, category 2, 3

b) Diagnosis of acute coronary syndrome not otherwise specified; acs_gprd, category 3
Secondary care

a) Primary or secondary diagnosis of unspecified angina (ICD-10 I20.9) during a hospitalization that did not have a PCI or CABG procedure performed

b) Primary or secondary diagnosis of acute ischaemic heart disease during a hospitalization; acute_ihd_hes, category 3

c) Primary or secondary diagnosis of 'Unstable Angina' during a hospitalization; uangina_hes, category 1

Implementation

PhenoFlow Implementation:

https://kclhi.org/phenoflow/phenotype/download/961

Publications

Kuan V., Denaxas S., Gonzalez-Izquierdo A. et al. A chronological map of 308 physical and mental health conditions from 4 million individuals in the National Health Service. The Lancet Digital Health - DOI 10.1016/S2589-7500(19)30012-3

Clinical Code List

CSV

JSON

XML

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C1631/4401 Unstable Angina - Primary care - Read codes v2

Rows: 15

Code	Description	Disease	Medcode	Category
662K300	Angina control - worsening	Unstable Angina	29300	Worsening angina (2)
G311.00	Preinfarction syndrome	Unstable Angina	36523	Unstable angina (3)
G311.11	Crescendo angina	Unstable Angina	4656	Unstable angina (3)
G311.12	Impending infarction	Unstable Angina	39655	Unstable angina (3)
G311.13	Unstable angina	Unstable Angina	1431	Unstable angina (3)
G311.14	Angina at rest	Unstable Angina	19655	Unstable angina (3)
G311100	Unstable angina	Unstable Angina	7347	Unstable angina (3)
G311200	Angina at rest	Unstable Angina	17307	Unstable angina (3)
G311300	Refractory angina	Unstable Angina	34328	Worsening angina (2)
G311400	Worsening angina	Unstable Angina	18118	Worsening angina (2)
G311500	Acute coronary syndrome	Unstable Angina	11983	ACS diagnosed (3)
G311z00	Preinfarction syndrome NOS	Unstable Angina	54251	Unstable angina (3)
G312.00	Coronary thrombosis not resulting in myocardial infarction	Unstable Angina	39449	Unstable angina (3)
G31y000	Acute coronary insufficiency	Unstable Angina	9276	Unstable angina (3)
G33z000	Status anginosus	Unstable Angina	66388	Unstable angina (3)

C1632/4403 Unstable Angina - Primary care - Med codes

Rows: 15

Code	Description	Disease	ReadcodeDescr	Readcode
11983	ACS diagnosed (3)	Unstable Angina	Acute coronary syndrome	G311500
1431	Unstable angina (3)	Unstable Angina	Unstable angina	G311.13
17307	Unstable angina (3)	Unstable Angina	Angina at rest	G311200
18118	Worsening angina (2)	Unstable Angina	Worsening angina	G311400
19655	Unstable angina (3)	Unstable Angina	Angina at rest	G311.14
29300	Worsening angina (2)	Unstable Angina	Angina control - worsening	662K300
34328	Worsening angina (2)	Unstable Angina	Refractory angina	G311300
36523	Unstable angina (3)	Unstable Angina	Preinfarction syndrome	G311.00
39449	Unstable angina (3)	Unstable Angina	Coronary thrombosis not resulting in myocardial infarction	G312.00
39655	Unstable angina (3)	Unstable Angina	Impending infarction	G311.12
4656	Unstable angina (3)	Unstable Angina	Crescendo angina	G311.11
54251	Unstable angina (3)	Unstable Angina	Preinfarction syndrome NOS	G311z00
66388	Unstable angina (3)	Unstable Angina	Status anginosus	G33z000
7347	Unstable angina (3)	Unstable Angina	Unstable angina	G311100
9276	Unstable angina (3)	Unstable Angina	Acute coronary insufficiency	G31y000

C1633/4405 Unstable Angina - Secondary care - Diagnoses - ICD10 codes

Rows: 1

Code	Description	Disease	Category
I200	Unstable angina	Unstable Angina	yes (1)

API

To Export Phenotype Details:

Format	API
XML	site_root/api/v1/public/phenotypes/PH329/version/658/detail/?format=xml
JSON	site_root/api/v1/public/phenotypes/PH329/version/658/detail/?format=json
R Package	`# Download here library(ConceptLibraryClient) # Connect to API client = connect_to_API(public=TRUE) # Get details of phenotype details = get_phenotype_detail_by_version('PH329', '658', api_client=client)`

To Export Phenotype Code List:

Format	API
XML	site_root/api/v1/public/phenotypes/PH329/version/658/export/codes/?format=xml
JSON	site_root/api/v1/public/phenotypes/PH329/version/658/export/codes/?format=json
CSV	site_root/phenotypes/PH329/version/658/export/codes/
R Package	`# Download here library(ConceptLibraryClient) # Connect to API client = connect_to_API(public=TRUE) # Get codelists of phenotype codelists = get_phenotype_code_list('PH329', '658', api_client=client)`

Version History

Version ID	Name	Owner	Publish date
658	Unstable Angina	ieuan.scanlon	2021-10-06	currently shown