A case-management program of medium intensity does not improve cardiovascular risk factor control in coronary artery disease patients: the Heartcare I trial

The American Journal of Medicine
A NordmannE Battegay

Abstract

Case-management programs for secondary prevention of coronary artery disease that utilize extensive resources can reduce cardiovascular risk factors, but less intensive approaches have failed to show benefits. This randomized trial evaluated whether a medium intensity case-management program improves risk factor control in patients with coronary artery disease. We assigned 201 consecutive patients hospitalized for acute coronary events in the intensive care unit of University Hospital, Basel, Switzerland, to either a risk factor case-management program (n = 99) or care as usual (n = 102) using the patients' primary care physicians as the unit of randomization (cluster randomization). The case-management program consisted of an hour of counseling by a clinician during hospitalization and two short reminders by phone and mail 3 and 6 months later. Treatment decisions were left to patients and their primary care physicians. After 9 and 18 months of follow-up, there were no significant differences in lipid values, blood pressure control, fasting blood glucose, body-mass index, or number of smokers between the two groups. However, significantly more patients in the intervention group than in the care as usual group achieved target c...Continue Reading

References

Feb 1, 1997·The American Journal of Cardiology·D B FriedmanB D Levine
Dec 31, 1997·The American Journal of Cardiology·T S Thomas
Dec 31, 1997·The American Journal of Cardiology·V M Benson
Jun 3, 1999·European Journal of Clinical Investigation·S WallnerT C Wascher

❮ Previous
Next ❯

Citations

Aug 13, 2013·BioMed Research International·Manuela CabiatiSilvia Del Ry
Jan 6, 2005·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Jan LisspersAke Nygren
Jun 29, 2017·The Cochrane Database of Systematic Reviews·Lindsey AndersonRod S Taylor
Mar 6, 2004·Journal of Palliative Medicine·Diane E MeierR Sean Morrison
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Brian S BuckleySusan M Smith
Apr 30, 2017·The Cochrane Database of Systematic Reviews·Suzanne H RichardsRod S Taylor

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Risk Prediction

Cardiovascular risk prediction models based on classical risk factors identified in epidemiological studies are useful in primary prevention of cardiovascular disease in individuals. Here is the latest research.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.