Secondary prevention of coronary heart disease in primary care: a healthy heart initiative

D.E.H. Flanagan
1999 QJM: Quarterly journal of medicine  
We assessed the effectiveness of secondary preven-hypertensive medication. Examining the primary care records, serum cholesterol was documented in tion of coronary heart disease (CHD) in primary care, in a cross-sectional study of 1015 patients 17.5% of men and 26.5% of women. Of the 722 subjects who had cholesterol measured, 30% of aged <75 years with documented CHD. Patients records were examined for documentation of CHD men and 25% of women had cholesterol <5.2 mmol/l. Mean cholesterol was
more » ... gnificantly risk factors; 722 patients then attended education sessions where blood pressure and cholesterol were higher in the women (6.1 mmol/l vs. 5.6 mmol/l, p=0.001). Lifestyle risk management was also poor, measured, a supervised questionnaire detailing modifiable risk factors was completed, and advice with significant numbers smoking and drinking more than recommended. Women were more overweight on lifestyle modification was given. Management of risk factors was generally poor, and was worse in than men (mean BMI 27.9 kg/m2 vs. 26.9 kg/m2, p=0.006). Aspirin was being taken by 56% of women. Approximately 20% of subjects remained hypertensive, with half of these receiving anti-patients.
doi:10.1093/qjmed/92.5.245 pmid:10615479 fatcat:zjheenofozgmnk2ospuysosacu