Gender differences in secondary prevention of coronary heart disease: reasons to worry or not?
(2003) In Scandinavian Journal of Primary Health Care 21(1). p.37-42- Abstract
- Objective - To analyse potential gender differences in cardiovascular risk factors and treatment patterns, reflecting clinical practice in secondary prevention. Design - Observational national study during 3 years of patients eligible for secondary prevention of coronary heart disease (CHD). Setting - Fifty-two healthcare districts in Sweden, involving primary health care and hospitals in collaboration, participating in a national quality assurance programme for the prevention of CHD. Subjects - A national sample of male and female patients surviving acute myocardial infarction, or following CABG/PTCA interventions for CHD, controlled at 3-6 months (n=9135) and 12 months (n=4802) of follow-up. The proportion of female patients (25%) did... (More)
- Objective - To analyse potential gender differences in cardiovascular risk factors and treatment patterns, reflecting clinical practice in secondary prevention. Design - Observational national study during 3 years of patients eligible for secondary prevention of coronary heart disease (CHD). Setting - Fifty-two healthcare districts in Sweden, involving primary health care and hospitals in collaboration, participating in a national quality assurance programme for the prevention of CHD. Subjects - A national sample of male and female patients surviving acute myocardial infarction, or following CABG/PTCA interventions for CHD, controlled at 3-6 months (n=9135) and 12 months (n=4802) of follow-up. The proportion of female patients (25%) did not differ between visits. Main outcome measures - Self-reported data on lifestyle, drug treatment and cardiovascular risk factor levels after consultation in general practice or at hospital policlinics. Results - No major gender differences were recorded in risk factor levels or in cardiovascular drug treatment patterns at 12 months of follow-up. Female patients participated in educational programmes to improve lifestyle to a higher degree than males (52.0 vs 45.1%), but after 1 year were more often (p < 0.001) self-reported smokers (11.7 vs 8.4%). Female patients showed higher levels of blood pressure, total cholesterol and HDL cholesterol, but not LDL cholesterol compared to male patients. Conclusions - In general, a gender-equal level of lipid control and access to medical drug treatment has been established for patients in secondary prevention from a national sample in Sweden, followed for 1 year after CHD manifestations and related interventions. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/900475
- author
- Nilsson, P ; Brandstrom, H ; Lingfors, H ; Erhardt, Leif RW LU ; Hedback, B ; Israelsson, Bo LU and Sjoberg, G
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- secondary prevention, risk, lipids, lifestyle, coronary heart disease, hypertension
- in
- Scandinavian Journal of Primary Health Care
- volume
- 21
- issue
- 1
- pages
- 37 - 42
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000182268500009
- pmid:12718459
- scopus:0037356566
- ISSN
- 0281-3432
- DOI
- 10.1080/02813430310000546
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Internal Medicine Research Unit (013242520), Emergency medicine/Medicine/Surgery (013240200)
- id
- 9d223d13-4fc6-424a-8a4f-31d0e2a50d79 (old id 900475)
- date added to LUP
- 2016-04-01 12:30:47
- date last changed
- 2022-04-21 08:27:03
@article{9d223d13-4fc6-424a-8a4f-31d0e2a50d79,
abstract = {{Objective - To analyse potential gender differences in cardiovascular risk factors and treatment patterns, reflecting clinical practice in secondary prevention. Design - Observational national study during 3 years of patients eligible for secondary prevention of coronary heart disease (CHD). Setting - Fifty-two healthcare districts in Sweden, involving primary health care and hospitals in collaboration, participating in a national quality assurance programme for the prevention of CHD. Subjects - A national sample of male and female patients surviving acute myocardial infarction, or following CABG/PTCA interventions for CHD, controlled at 3-6 months (n=9135) and 12 months (n=4802) of follow-up. The proportion of female patients (25%) did not differ between visits. Main outcome measures - Self-reported data on lifestyle, drug treatment and cardiovascular risk factor levels after consultation in general practice or at hospital policlinics. Results - No major gender differences were recorded in risk factor levels or in cardiovascular drug treatment patterns at 12 months of follow-up. Female patients participated in educational programmes to improve lifestyle to a higher degree than males (52.0 vs 45.1%), but after 1 year were more often (p < 0.001) self-reported smokers (11.7 vs 8.4%). Female patients showed higher levels of blood pressure, total cholesterol and HDL cholesterol, but not LDL cholesterol compared to male patients. Conclusions - In general, a gender-equal level of lipid control and access to medical drug treatment has been established for patients in secondary prevention from a national sample in Sweden, followed for 1 year after CHD manifestations and related interventions.}},
author = {{Nilsson, P and Brandstrom, H and Lingfors, H and Erhardt, Leif RW and Hedback, B and Israelsson, Bo and Sjoberg, G}},
issn = {{0281-3432}},
keywords = {{secondary prevention; risk; lipids; lifestyle; coronary heart disease; hypertension}},
language = {{eng}},
number = {{1}},
pages = {{37--42}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Primary Health Care}},
title = {{Gender differences in secondary prevention of coronary heart disease: reasons to worry or not?}},
url = {{http://dx.doi.org/10.1080/02813430310000546}},
doi = {{10.1080/02813430310000546}},
volume = {{21}},
year = {{2003}},
}