Secondary prevention in 24 431 patients with coronary heart disease: survey in primary care

Prevention of further cardiovascular events in patients with established coronary heart disease is a priority for public health. 1 Previous studies have addressed such issues and have showed that there is considerable room for improvement. 2-4 The Healthwise survey was conducted in primary care thro...

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Bibliographic Details
Published in:BMJ 2001-06, Vol.322 (7300), p.1463-1463
Main Authors: Brady, A J B, Oliver, M A, Pittard, J B
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Angiotensin converting enzyme inhibitors
Blood pressure
Cardiovascular disease
Cholesterol
Cholesterols
Coronary artery disease
Coronary Disease - epidemiology
Coronary Disease - prevention & control
Diabetes
Disease prevention
Enzymes
Female
General practice
Health Care Surveys
Health surveys
Heart attacks
Heart failure
Humans
Male
Middle Aged
Population
Predisposing factors
Prevalence
Primary health care
Recurrence
Risk Factors
Secondary prevention
Statins
Studies
United Kingdom - epidemiology
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Summary:Prevention of further cardiovascular events in patients with established coronary heart disease is a priority for public health. 1 Previous studies have addressed such issues and have showed that there is considerable room for improvement. 2-4 The Healthwise survey was conducted in primary care throughout Britain to identify the prevalence of recorded coronary disease and to examine whether progress had been made in secondary preventive measures. Men (n=14 533) Women (n=9898) Risk factor Continued smoking 3783 (26) 1939 (20) Diabetes mellitus 1589 (11) 1055 (11) Hypertension (>160/90 mm Hg) 5407 (37) 4483 (35) Diabetic patients (n=2644) 636/1589 (56) 591/1055 (56) Cholesterol never recorded 5114 (35) 5112 (52) Total cholesterol >5 mmol/l 6830 (47) 3977 (40) Preventive drug treatment Aspirin 7728 (53) 4505 (46) β blockers 3303 (23) 1927 (19) Previous myocardial infarction (n=10 164) 1750/7143 (24) 625/3021 (21) Angiotensin converting enzyme inhibitors 2073 (14) 1207 (12) Congestive heart failure (n=715) 245/443 (55) 124/272 (46) Statins 2634 (18) 1315 (13) Comment The Healthwise survey shows that even in well organised general practices there is ample scope for improvement in the detection, recording, and intervention of the major cardiac risk factors among patients with established coronary heart disease.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.322.7300.1463