Abstract
Secondary prevention of coronary heart disease (CHD) among older individuals is associated with considerable benefit. In this study, we have examined the extent of secondary prevention among British women and men aged 60-79 years who were surveyed and examined between 1998 and 2001. Among 483 women (12.1% of the whole sample) and 831 men (19.5%) with CHD, >90% of both sexes had at least one modifiable risk factor, with over two-fifths having high blood pressure and over three-quarters high cholesterol. For total cholesterol and body mass index, mean values in both male and female subjects were above recommended levels, and a large shift in the population distributions would be required for targets to be met. Less than one-quarter of subjects of either sex were on a statin, and whilst the majority of men were taking an antiplatelet medication, only 40% of women were. Most older women and men in Britain were failing to meet National Service Framework standards for secondary prevention in the period immediately before its implementation. Large shifts in the population distributions of some risk factors would be required in this group to meet these standards.
Citations
Jul 21, 2006·Journal of Human Hypertension·R PatelS Ebrahim
Mar 16, 2007·Age and Ageing·A G RuddD Lowe
Jan 13, 2006·BMJ : British Medical Journal·Sheena E RamsayRichard W Morris
Jun 10, 2009·BMC Cardiovascular Disorders·J Jaime MirandaLiam Smeeth
Dec 7, 2006·PLoS Medicine·Marcus J SchultzPeter E Spronk
Feb 13, 2014·International Journal of Clinical Pharmacy·Ashraf EissaBeata V Bajorek
Sep 16, 2005·Journal of Public Health·Sheena E RamsayPeter H Whincup
Aug 14, 2010·Acta Diabetologica·M SalemK Esmat
Nov 1, 2005·Blood Pressure·Piotr JankowskiAndrzej Pajak
Jun 29, 2006·Annals of the New York Academy of Sciences·Miriam CapriClaudio Franceschi
Dec 2, 2008·Nurse Education in Practice·Ian Brown, Michael J Macintosh
Dec 5, 2014·PloS One·Venediktos V KapetanakisChristopher G Owen
Mar 5, 2015·International Journal of Rheumatology·Rawhya R ElshereefLamiaa Hamdy
Oct 18, 2016·Health & Social Care in the Community·Sheena AsthanaChris Dibben
Feb 20, 2010·Stroke; a Journal of Cerebral Circulation·Bruce Ovbiagele
Jun 4, 2010·Critical Pathways in Cardiology·Bruce Ovbiagele
Dec 4, 2009·Expert Review of Cardiovascular Therapy·Shahzya S HudaScott M Nelson
May 17, 2006·The British Journal of Surgery·K-H YowS Homer-Vanniasinkam
May 21, 2020·Journal of the American Heart Association·Min ZhaoSanne A E Peters
Jun 6, 2012·Cadernos de saúde pública·Carolina Avila ViannaAlicia Matijasevich
Nov 23, 2017·European Journal of Preventive Cardiology·Elisenda Marcos-ForniolXavier Pintó