| High cardiovascular risk and poor adherence to guidelines in 11,069 patients of middle age and older in primary care centres. | |
| | |
MedLine Citation:
|
PMID: 20389248 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Evaluation of the risk for fatal cardiovascular (CV) disease and adherence to guidelines in ambulatory patients in primary care centres. DESIGN AND METHODS: Cross-sectional survey of risk factors and 10-year Systematic Coronary Risk Evaluation (SCORE) risk in 11,069 patients aged 50 years or more in primary care. RESULTS: Three-thousand, seven hundred and thirteen (33.5%) patients were actual smokers. Although 61% of the patients were treated with at least one antihypertensive drug, the mean systolic blood pressure was 141±15 mmHg. Of the treated patients, only 15.9% were at goal. Thirty-six percent of the patients were perceived as normocholesterolemic by the primary care physician. In the group of patients, presumed as hypercholesterolemic, the total cholesterol level was 235±38 mg/dl, suggesting that only very high cholesterol level was considered relevant by physicians. Virtually 0% of the patients (n=2) were treated correctly. Obesity (body mass index >30 kg/m) was found in 41% of the patients and central obesity was found in 50% of the patients. Diabetes was present in 2085 (19%) patients and at least one earlier vascular event was present in 2913 (26.3%) patients, with combined pathologies in 388 (4.5%) patients. In the remaining 6766 (61%) patients (neither diabetes nor earlier CV event), the 10-year fatal CV risk according to the Belgian SCORE table was calculated as follows: 716 (10.6%) patients had a risk of less than 2%; 1680 (24.8%) patients had a risk of 2-4%; 2576 (38%) patients had a risk of 5-9% and 1794 (26.6%) patients had a risk of 10% or more. CONCLUSION: Despite simple, clear, credible guidelines, despite the existence of a simple tool such as SCORE risk scoring and despite a very accessible health system in Belgium, the CV risk remains very high even in a professional medical environment of daily primary care practice. |
| | |
Authors:
|
Luc Missault; Nadine Witters; Johan Imschoot |
Related Documents
:
|
12527668 - Atrial fibrillation: relation between clinical risk factors and transoesophageal echoca... 17985658 - Apolipoprotein e polymorphism in omani dyslipidemic patients with and without coronary ... 11694218 - Postdischarge lipid management of coronary artery disease patients according to the new... 20637648 - One-year interim follow-up results of the traverce trial: the initial feasibility study... 9202768 - Post-traumatic bilateral diffuse cerebral swelling. 14655058 - Experience with liver dialysis in acetaminophen induced fulminant hepatic failure: a pr... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology Volume: 17 ISSN: 1741-8275 ISO Abbreviation: Eur J Cardiovasc Prev Rehabil Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-10-05 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101192000 Medline TA: Eur J Cardiovasc Prev Rehabil Country: England |
Other Details:
|
Languages: eng Pagination: 593-8 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, St Jan Hospital, Bruges, Belgium. luc.missault@azbrugge.be |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Ambulatory Care Anticholesteremic Agents / therapeutic use Antihypertensive Agents / therapeutic use Belgium Cardiovascular Diseases / etiology, mortality, prevention & control* Chi-Square Distribution Cross-Sectional Studies Drug Utilization Female Guideline Adherence* / statistics & numerical data Health Care Surveys Humans Male Middle Aged Physician's Practice Patterns* / statistics & numerical data Platelet Aggregation Inhibitors / therapeutic use Practice Guidelines as Topic* Preventive Health Services* / statistics & numerical data Primary Health Care* / statistics & numerical data Risk Assessment Risk Factors Smoking Cessation |
| Chemical | |
Reg. No./Substance:
|
0/Anticholesteremic Agents; 0/Antihypertensive Agents; 0/Platelet Aggregation Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Maintaining physical fitness of patients with chronic heart failure: a randomized controlled trial.
Next Document: A randomized clinical trial on n-3 polyunsaturated fatty acids supplementation and all-cause mortali...