TY - JOUR
T1 - Antiplatelet and lipid-lowering therapies for the secondary prevention of cardiovascular disease
T2 - Are we doing enough?
AU - Xhignesse, Marianne
AU - Laplante, Patrice
AU - Grant, Andrew M.
AU - Niyonsenga, Théophile
AU - Delisle, Elisabeth
AU - Vanasse, Nathalie
AU - Bernier, Roch
PY - 1999/2/1
Y1 - 1999/2/1
N2 - OBJECTIVE: To evaluate whether current recommendations with respect to the treatment of dyslipidemias and the use of anti-platelet agents are being applied in the secondary prevention of cardiovascular disease in primary care settings. DESIGN: Descriptive study based on data from the FAMUS (FAmily Medicine, Universite de Sherbrooke) primary care register. SETTING AND PARTICIPANTS: Two-hundred and thirty-three physicians participating in the FAMUS project contributed information from nonpregnant patients over 20 years of age consulting for a periodic health examination between 1992 and 1996. INTERVENTIONS: Data from patients in secondary prevention (those with or having had angina, a previous myocardial infarction, bypass surgery, coronary angioplasty or peripheral vascular disease) were extracted and analyzed. MAIN RESULTS: Of the 52,505 patients in the register, 4315 (8%) were identified as being in secondary prevention. Overall, 53% were noted as receiving an antiplatelet agent while 4% were taking warfarin therapy, Only 64% (2780) had a complete lipid profile on record while 38% were being treated with a hypolipidemic agent. In the treated group, only 30% had a low density lipoprotein cholesterol level below 3.0 mmol/L compared with 22% in the untreated group. CONCLUSIONS: A large number of patients identified as being in secondary prevention were not screened for dyslipidemias, and, of those who were, the majority were undertreated according to current recommendations. Antiplatelet agents were more widely prescribed but potentially underused.
AB - OBJECTIVE: To evaluate whether current recommendations with respect to the treatment of dyslipidemias and the use of anti-platelet agents are being applied in the secondary prevention of cardiovascular disease in primary care settings. DESIGN: Descriptive study based on data from the FAMUS (FAmily Medicine, Universite de Sherbrooke) primary care register. SETTING AND PARTICIPANTS: Two-hundred and thirty-three physicians participating in the FAMUS project contributed information from nonpregnant patients over 20 years of age consulting for a periodic health examination between 1992 and 1996. INTERVENTIONS: Data from patients in secondary prevention (those with or having had angina, a previous myocardial infarction, bypass surgery, coronary angioplasty or peripheral vascular disease) were extracted and analyzed. MAIN RESULTS: Of the 52,505 patients in the register, 4315 (8%) were identified as being in secondary prevention. Overall, 53% were noted as receiving an antiplatelet agent while 4% were taking warfarin therapy, Only 64% (2780) had a complete lipid profile on record while 38% were being treated with a hypolipidemic agent. In the treated group, only 30% had a low density lipoprotein cholesterol level below 3.0 mmol/L compared with 22% in the untreated group. CONCLUSIONS: A large number of patients identified as being in secondary prevention were not screened for dyslipidemias, and, of those who were, the majority were undertreated according to current recommendations. Antiplatelet agents were more widely prescribed but potentially underused.
KW - Hypercholesterolemia
KW - Lipoproteins
KW - Platelet aggregation inhibitors
UR - https://www.ncbi.nlm.nih.gov/pubmed/10079778
UR - http://www.scopus.com/inward/record.url?scp=0033041855&partnerID=8YFLogxK
M3 - Article
C2 - 10079778
AN - SCOPUS:0033041855
VL - 15
SP - 185
EP - 189
JO - Canadian Journal of Cardiology
JF - Canadian Journal of Cardiology
SN - 0828-282X
IS - 2
ER -