The writing committee considered a measure of assessment of angina. What were the challenges they noted?
The writing committee noted several challenges. First, it was recognized that angina/ischemia can present in different ways, and there was little agreement on how to account for unusual symptoms presenting as an anginal equivalent. Second, it was recognized that rigorous, standardized anginal class assessment (e.g., create 1 question and 1 detailed answer, was difficult to implement in clinical practice.