Journal article
Underutilisation of cardiovascular medications among at-risk individuals
International journal of clinical practice (Esher), Vol.64(5), pp.604-610
04/2010
DOI: 10.1111/j.1742-1241.2009.02258.x
PMCID: PMC2855867
PMID: 19909379
Abstract
Guidelines recommend antihypertensive, lipid-lowering and/or antiplatelet therapy for prevention of cardiovascular disease (CVD). This study examined the utilisation of cardiovascular therapies among individuals at CVD risk to assess adherence to guidelines.
Respondents to the SHIELD study were classified based on National Cholesterol Education Program Adult Treatment Panel III risk categories. High coronary heart disease (CHD) risk (n = 7510) was defined as self-reported diagnosis of heart disease/heart attack, narrow or blocked arteries, stroke or diabetes; moderate risk (n = 4823) included respondents with > or = 2 risk factors (i.e., men > 45 years, women > 55 years, hypertension, low high-density lipoprotein cholesterol, smoking and family history of CHD); and low risk (n = 5307) was 0-1 risk factor. Respondents reporting a myocardial infarction, stroke or revascularisation at baseline (prior CVD event) (n = 3777), those reporting a new CVD event during 2 years of follow up (n = 953), and those with type 2 diabetes mellitus (n = 3937) were evaluated. The proportion of respondents reporting treatment with lipid-lowering, antiplatelet or antihypertensive agents was calculated.
Utilisation of lipid-lowering therapy was low (< or = 25%) in each group. Prescription antithrombotic therapy was minimal among respondents with prior CVD events, but 47% received antihypertensive medication. No use before or after a new CVD event was reported by 36% of respondents for lipid-lowering, 32% for antithrombotic and > 50% for antihypertensive medications.
More than 50% of at-risk respondents and > 33% of respondents with new CVD events were not taking CVD therapy as recommended by guidelines.
Details
- Title: Subtitle
- Underutilisation of cardiovascular medications among at-risk individuals
- Creators
- S J Lewis - Northwest Cardiovascular Institute, Portland, OR, USAJ G RobinsonK M FoxS GrandySHIELD Study Group
- Resource Type
- Journal article
- Publication Details
- International journal of clinical practice (Esher), Vol.64(5), pp.604-610
- Publisher
- England
- DOI
- 10.1111/j.1742-1241.2009.02258.x
- PMID
- 19909379
- PMCID
- PMC2855867
- ISSN
- 1742-1241
- eISSN
- 1742-1241
- Language
- English
- Date published
- 04/2010
- Academic Unit
- Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9983995151002771
Metrics
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