| Gender differences in secondary prevention of coronary heart disease: reasons to worry or not? | |
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MedLine Citation:
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PMID: 12718459 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyse potential gender differences in cardiovascular risk factors and treatment patterns, reflecting clinical practice in secondary prevention. DESIGN: Observational national study during 3 years of patients eligible for secondary prevention of coronary heart disease (CHD). SETTING: Fifty-two healthcare districts in Sweden, involving primary health care and hospitals in collaboration, participating in a national quality assurance programme for the prevention of CHD. SUBJECTS: A national sample of male and female patients surviving acute myocardial infarction, or following CABG/PTCA interventions for CHD, controlled at 3-6 months (n = 9135) and 12 months (n = 4802) of follow-up. The proportion of female patients (25%) did not differ between visits. MAIN OUTCOME MEASURES: Self-reported data on lifestyle, drug treatment and cardiovascular risk factor levels after consultation in general practice or at hospital policlinics. RESULTS: No major gender differences were recorded in risk factor levels or in cardiovascular drug treatment patterns at 12 months of follow-up. Female patients participated in educational programmes to improve lifestyle to a higher degree than males (52.0 vs 45.1%), but after 1 year were more often (p < 0.001) self-reported smokers (11.7 vs 8.4%). Female patients showed higher levels of blood pressure, total cholesterol and HDL cholesterol, but not LDL cholesterol compared to male patients. CONCLUSIONS: In general, a gender-equal level of lipid control and access to medical drug treatment has been established for patients in secondary prevention from a national sample in Sweden, followed for 1 year after CHD manifestations and related interventions. |
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Authors:
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Peter Nilsson; Hans Brandström; Hans Lingfors; Leif Erhardt; Bo Hedbäck; Bo Israelsson; Gunilla Sjöberg; |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian journal of primary health care Volume: 21 ISSN: 0281-3432 ISO Abbreviation: Scand J Prim Health Care Publication Date: 2003 Mar |
Date Detail:
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Created Date: 2003-04-29 Completed Date: 2003-05-30 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8510679 Medline TA: Scand J Prim Health Care Country: Norway |
Other Details:
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Languages: eng Pagination: 37-42 Citation Subset: IM |
Affiliation:
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Department of Medicine, University Hospital, Malmö, Sweden. Peter.Nilsson@medforsk.mas.lu.se |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Disease
/
complications,
drug therapy,
prevention & control* Female Health Behavior Health Services Accessibility Health Services Research Humans Hypertension / complications, drug therapy Life Style Lipids / blood Male Middle Aged Risk Factors Risk Reduction Behavior Self Efficacy Sex Factors Sweden |
| Chemical | |
Reg. No./Substance:
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0/Lipids |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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