Document Detail


Clinical profile and management of patients with chronic ischemic heart disease according to age in the population daily attended by cardiologists in Spain The ELDERCIC study.
MedLine Citation:
PMID:  20493419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study was aimed to evaluate the differences according to age in the clinical profile and management of outpatients with chronic ischemic heart disease attended by cardiologists in Spain. METHODS: Patients with an established diagnosis of chronic ischemic heart disease were included in this cross-sectional multicenter study. The age of 65 years was considered as the cut-off point for the present analysis. RESULTS: A total of 1038 subjects were included, 524 of them (50.5%) >65 years. Patients >65 years had a lesser prevalence of smoking, a longer history of hypertension, a worse left ventricular ejection fraction and a higher prevalence of heart failure and renal insufficiency than younger subjects. The number of prescribed drugs was higher in patients >65 years (6.1+/-1.9 vs 5.7+/-2.1, p=0.004). Blood pressure control rate was lower in older patients (38.1% vs 46.5%, p=0.008). No significant differences were found either in LDL-cholesterol (42.4% vs 46.5%), or glycemic control rates (42.4% vs 41.4%), both p=NS. Diagnostic and therapeutic procedures were also compared in >65 vs < or =65 years, exercise test was performed in 51.5% vs 62.8% (p<0.0001); stress echocardiography in 18.3% vs 13.2% (p=0.027); coronary angiography in 38.6% vs 53.5% (p<0.0001); and coronary revascularization in 37.2% vs 46.9% (p=0.002), without significant differences in electrocardiogram, echocardiogram, or isotopic exams. CONCLUSIONS: Older patients exhibited a worse clinical profile and a worse blood pressure control rate than the younger. However, diagnostic and therapeutic procedures appear to be frequently underused in the old patients.
Authors:
Vivencio Barrios; Carlos Escobar; Nekane Murga; Juan Jose Quijano
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-09
Journal Detail:
Title:  European journal of internal medicine     Volume:  21     ISSN:  1879-0828     ISO Abbreviation:  Eur. J. Intern. Med.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9003220     Medline TA:  Eur J Intern Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  180-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
Affiliation:
Vivencio Barrios, Dept. of Cardiology, Hospital Ramón y Cajal, Ctra. Colmenar km 9.100, 28034 Madrid, Spain. vbarriosa@meditex.es
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Blood Pressure
Cardiology / statistics & numerical data*
Cholesterol, LDL / blood
Chronic Disease
Coronary Angiography / utilization
Diagnostic Techniques, Cardiovascular / utilization*
Echocardiography / utilization
Electrocardiography / utilization
Exercise Test / utilization
Female
Heart Failure* / diagnosis,  epidemiology,  therapy
Humans
Hypertension / epidemiology
Male
Middle Aged
Myocardial Ischemia* / diagnosis,  epidemiology,  therapy
Outpatients
Predictive Value of Tests
Prevalence
Professional Practice / statistics & numerical data*
Risk Factors
Smoking / epidemiology
Spain / epidemiology
Chemical
Reg. No./Substance:
0/Cholesterol, LDL

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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