Furthermore, even these simple classifications of health status are recorded infrequently in health records.432,434 One ap- proach to directly eliciting perceptions of health status from patients with IHD is to use the self-administered Seattle Angina Questionnaire (SAQ), a valid, sensitive, and prognos- tically important questionnaire, to quantify the symptoms, functional limitations, and quality of life of patients with SIHD.246,247,435 Although such instruments typically are used in research trials, they are readily applicable to clinical practice and can be used serially to assess and monitor the effectiveness of therapy, including antianginal medications and revascularization.434 The formal assessment of a patient s disease-specific health status, through either the CCS or the SAQ, has been endorsed as a performance measure of 4.3. Patient Education: Recommendations Class I 1. Patients with SIHD should have an individualized education plan to optimize care and promote well- ness, including: a. education on the importance of medication adher- ence for managing symptoms and retarding dis- ease progression437 439 (Level of Evidence: C); b. an explanation of medication management and cardiovascular risk reduction strategies in a man- ner that respects the patient s level of under- standing, reading comprehension, and ethnic- ity8,440 444 (Level of Evidence: B); c. a comprehensive review of all therapeutic op- tions8,441 444 (Level of Evidence: B); d. a description of appropriate levels of exercise, with encouragement to maintain recommended levels of daily physical activity8,445 448 (Level of Evidence: C); e. introduction to self-monitoring skills445,447,448 (Level of Evidence: C); and f. information on how to recognize worsening car- diovascular symptoms and take appropriate ac- tion. (Level of Evidence: C) 2. 