Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group

<p>Abstract</p> <p>Background</p> <p>Primary prevention should be targeted at individuals with high global cardiovascular risk, but research is lacking on how best to identify such individuals in the general population. Family history is a good proxy measure of global r...

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Main Authors: Chow Clara K, Anderson Judith, Pell Alastair CH, Thompson Helen J, Pell Jill P
Format: Article
Language:English
Published: BMC 2010-05-01
Series:BMC Research Notes
Online Access:http://www.biomedcentral.com/1756-0500/3/132
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author Chow Clara K
Anderson Judith
Pell Alastair CH
Thompson Helen J
Pell Jill P
author_facet Chow Clara K
Anderson Judith
Pell Alastair CH
Thompson Helen J
Pell Jill P
author_sort Chow Clara K
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Primary prevention should be targeted at individuals with high global cardiovascular risk, but research is lacking on how best to identify such individuals in the general population. Family history is a good proxy measure of global risk and may provide an efficient mechanism for identifying high risk individuals. The aim was to test the feasibility of using patients with premature cardiovascular disease to recruit family members as a means of identifying and screening high-risk individuals.</p> <p>Findings</p> <p>We recruited family members of 50 patients attending a cardiology clinic for premature coronary heart disease (CHD). We compared their cardiovascular risk with a general population control group, and determined their perception of their risk and current level of screening. 103 (36%) family members attended screening (27 siblings, 48 adult offspring and 28 partners). Five (5%) had prevalent CHD. A significantly higher percentage had an ASSIGN risk score >20% compared with the general population (13% versus 2%, p < 0.001). Only 37% of family members were aware they were at increased risk and only 50% had had their blood pressure and serum cholesterol level checked in the previous three years.</p> <p>Conclusions</p> <p>Patients attending hospital for premature CHD provide a mechanism to contact family members and this can identify individuals with a high global risk who are not currently screened.</p>
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spelling doaj.art-6431d4333c1b4f21808c04cf450cff192022-12-21T20:56:20ZengBMCBMC Research Notes1756-05002010-05-013113210.1186/1756-0500-3-132Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison groupChow Clara KAnderson JudithPell Alastair CHThompson Helen JPell Jill P<p>Abstract</p> <p>Background</p> <p>Primary prevention should be targeted at individuals with high global cardiovascular risk, but research is lacking on how best to identify such individuals in the general population. Family history is a good proxy measure of global risk and may provide an efficient mechanism for identifying high risk individuals. The aim was to test the feasibility of using patients with premature cardiovascular disease to recruit family members as a means of identifying and screening high-risk individuals.</p> <p>Findings</p> <p>We recruited family members of 50 patients attending a cardiology clinic for premature coronary heart disease (CHD). We compared their cardiovascular risk with a general population control group, and determined their perception of their risk and current level of screening. 103 (36%) family members attended screening (27 siblings, 48 adult offspring and 28 partners). Five (5%) had prevalent CHD. A significantly higher percentage had an ASSIGN risk score >20% compared with the general population (13% versus 2%, p < 0.001). Only 37% of family members were aware they were at increased risk and only 50% had had their blood pressure and serum cholesterol level checked in the previous three years.</p> <p>Conclusions</p> <p>Patients attending hospital for premature CHD provide a mechanism to contact family members and this can identify individuals with a high global risk who are not currently screened.</p>http://www.biomedcentral.com/1756-0500/3/132
spellingShingle Chow Clara K
Anderson Judith
Pell Alastair CH
Thompson Helen J
Pell Jill P
Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
BMC Research Notes
title Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
title_full Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
title_fullStr Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
title_full_unstemmed Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
title_short Screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk: a cross-sectional study of family members and a general population comparison group
title_sort screening families of patients with premature coronary heart disease to identify avoidable cardiovascular risk a cross sectional study of family members and a general population comparison group
url http://www.biomedcentral.com/1756-0500/3/132
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