Journal Article

Action to improve secondary prevention in coronary heart disease patients: one-year follow-up of a shared care programme<sup>1</sup><p>Presented in part at the XIVth World Congress of Cardiology, May 2002, Sydney, Australia.</p>

José A. De Velasco, Juan A. Rodriguez, Francisco Ridocci and José Aznar

in European Heart Journal Supplements

Published on behalf of European Society of Cardiology

Volume 6, issue suppl_J, pages j27-j32
Published in print December 2004 | ISSN: 1520-765X
Published online December 2004 | e-ISSN: 1554-2815 | DOI: http://dx.doi.org/10.1016/j.ehjsup.2004.02.001
Action to improve secondary prevention in coronary heart disease patients: one-year follow-up of a shared care programme1Presented in part at the XIVth World Congress of Cardiology, May 2002, Sydney, Australia.

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Aims The aim of the study was to improve the treatment and prevention of risk factors in coronary patients at discharge from hospital and later on.

Methods A network between hospital and primary care physicians was created to develop a local shared care programme to improve secondary prevention in our area. The group identi.ed barriers that impede effective preventive measures and implemented a programme with speci.c recommendations and goals for secondary prevention. After agreement on the programme, 305 patients discharged during 1997 were included and 278 (91.1%) of them followed for one year.

Results The intervention improved the situation of all risk factors. At the end of one year follow-up, only 3.6% of the total population still smoked, 90% of them reached the goals of blood pressure, glycemia and exercise. The correction of overweight was much less impressive but significant and there were also significant reductions of total cholesterol, LDL-cholesterol and triglycerides as well as an increase in HDL. The prescription of statins increased significantly during follow-up (from 28.9% at discharge to 62.2% at one year). The global risk of the total population diminished significantly.

Conclusion Our programme showed that a reinforced action on risk factor control in coronary patients can be successful.

Keywords: Coronary heart disease; Secondary prevention; Shared care programme

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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