The Heart Health Study - increasing cardiovascular risk assessment in family practice for first degree relatives of patients with premature ischaemic heart disease: a randomised controlled trial

BMC Family Practice
Nigel P StocksPhilip Ryan

Abstract

This study aimed to increase cardiovascular disease (CVD) risk assessment in adult first degree relatives of patients with premature ischaemic heart disease (PIHD) using written and verbal advice. A prospective, randomised controlled trial. Cardiovascular wards at three South Australian hospitals. Cardiovascular risk assessments were performed in general practice. Patients experiencing PIHD (heart disease in men aged <55 years or women aged < 65 years) and their first degree relatives. Patients distributed either general information about heart disease and written advice to attend their general practitioner (GP) for CVD risk assessment or general information about heart disease only, to their first degrees relatives. The primary outcome was the proportion of relatives who attended their GP for CVD risk assessment within 6 months of the patients' PIHD event. One hundred forty four patients were recruited who had 541 eligible relatives; 97/541 (18 %) of relatives agreed to participate. A larger number of intervention 41/55 (75 %) than control group 9/42 (21 %) [difference 53 %, 95 % CI 36 % - 71 %] relatives attended their GP for a CVD assessment, and 34 % of these had moderate to very high 5-year absolute risk for CVD. This low ...Continue Reading

References

Aug 5, 1997·American Journal of Health Promotion : AJHP·J O Prochaska, W F Velicer
Jan 4, 2001·American Journal of Preventive Medicine·J R Swanson, T A Pearson
Feb 20, 2003·European Heart Journal·J De SutterUNKNOWN EUROpean Action on Secondary Prevention through Intervention to Reduce Events II study group
Dec 21, 2005·Heart·UNKNOWN British Cardiac SocietyUNKNOWN Stroke Association
Aug 8, 2013·The Medical Journal of Australia·Mark R Nelson, Jennifer A Doust

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