Abstract
Background: Cardiovascular diseases still represent the leading cause of morbidity and mortality, worldwide. Early detection and appropriate management of major cardiovascular risk factors in clinical practice may improve preventive strategies in Western countries, including Italy. Objective: To evaluate the prevalence of major cardiovascular risk factors and their impact on routine clinical practice of Italian general practitioners (GPs), cardiologists and diabetologists. Methods: The study involved physicians who participated in an educational project on cardiovascular risk management, the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra-Sensitisation) programme. Physicians were asked to report data already available in their clinical records of the first ten consecutive adult outpatients during May 2006. Data collection included patients' full medical history and therapies, physical examination (anthropometric parameters and blood pressure levels), laboratory results and diagnostic examinations. Data were then centrally analysed for global cardiovascular risk evaluation and cardiovascular risk profile characterization. The present study provides data from the baseline records of the EFFECTUS programme. Results: A total of 1078 physicians (73% males and 27% females, mean age 50 ± 7 years), of which 841 (78%) were GPs, 140 (13%) cardiologists and 97 (9%) diabetologists, included data from 9904 outpatients (5300 males and 4604 females, mean age 67 ± 9 years). In the overall population, 2504 (25%) subjects were obese, 7436 (75%) had hypertension, 5873 (59%) had dyslipidaemia, 3681 (37%) had diabetes mellitus and 2633 (27%) had a history of ischaemic heart disease, while 1102 (11%) and 1247 (13%) had cerebral or peripheral artery disease, respectively. Significant differences were reported in the prevalence of detected cardiovascular risk factors among physicians operating in different clinical settings. Moreover, different clinical habits were recorded. Conclusions: The present analysis illustrates a very high prevalence of cardiovascular risk factors, irrespective of the clinical settings in which patients were followed, in a vast Italian population. The study also describes differences in management of cardiovascular risk factors among physicians operating in different clinical settings.
| Original language | English |
|---|---|
| Pages (from-to) | 55-63 |
| Number of pages | 9 |
| Journal | High Blood Pressure and Cardiovascular Prevention |
| Volume | 16 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2009 |
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Keywords
- Cardiovascular prevention
- Cardiovascular risk management
- General practice
- Global cardiovascular risk
- Hypercholesterolaemia
- Hypertension
- Risk factors
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Internal Medicine
Cite this
Global cardiovascular risk assessment in different clinical settings : Basal results of the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra-Sensitisation) programme. / Volpe, Massimo; Tocci, Giuliano; Avogaro, Angelo; Comaschi, Marco; Corsini, Alberto; Cortese, Claudio; Giorda, Carlo Bruno; Guida, Piero; Medea, Gerardo; Mureddu, Gian Francesco; Titta, Giulio; Ventriglia, Giuseppe; Zito, Giovanni Battista; Manzato, Enzo.
In: High Blood Pressure and Cardiovascular Prevention, Vol. 16, No. 2, 2009, p. 55-63.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Global cardiovascular risk assessment in different clinical settings
T2 - Basal results of the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra-Sensitisation) programme
AU - Volpe, Massimo
AU - Tocci, Giuliano
AU - Avogaro, Angelo
AU - Comaschi, Marco
AU - Corsini, Alberto
AU - Cortese, Claudio
AU - Giorda, Carlo Bruno
AU - Guida, Piero
AU - Medea, Gerardo
AU - Mureddu, Gian Francesco
AU - Titta, Giulio
AU - Ventriglia, Giuseppe
AU - Zito, Giovanni Battista
AU - Manzato, Enzo
PY - 2009
Y1 - 2009
N2 - Background: Cardiovascular diseases still represent the leading cause of morbidity and mortality, worldwide. Early detection and appropriate management of major cardiovascular risk factors in clinical practice may improve preventive strategies in Western countries, including Italy. Objective: To evaluate the prevalence of major cardiovascular risk factors and their impact on routine clinical practice of Italian general practitioners (GPs), cardiologists and diabetologists. Methods: The study involved physicians who participated in an educational project on cardiovascular risk management, the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra-Sensitisation) programme. Physicians were asked to report data already available in their clinical records of the first ten consecutive adult outpatients during May 2006. Data collection included patients' full medical history and therapies, physical examination (anthropometric parameters and blood pressure levels), laboratory results and diagnostic examinations. Data were then centrally analysed for global cardiovascular risk evaluation and cardiovascular risk profile characterization. The present study provides data from the baseline records of the EFFECTUS programme. Results: A total of 1078 physicians (73% males and 27% females, mean age 50 ± 7 years), of which 841 (78%) were GPs, 140 (13%) cardiologists and 97 (9%) diabetologists, included data from 9904 outpatients (5300 males and 4604 females, mean age 67 ± 9 years). In the overall population, 2504 (25%) subjects were obese, 7436 (75%) had hypertension, 5873 (59%) had dyslipidaemia, 3681 (37%) had diabetes mellitus and 2633 (27%) had a history of ischaemic heart disease, while 1102 (11%) and 1247 (13%) had cerebral or peripheral artery disease, respectively. Significant differences were reported in the prevalence of detected cardiovascular risk factors among physicians operating in different clinical settings. Moreover, different clinical habits were recorded. Conclusions: The present analysis illustrates a very high prevalence of cardiovascular risk factors, irrespective of the clinical settings in which patients were followed, in a vast Italian population. The study also describes differences in management of cardiovascular risk factors among physicians operating in different clinical settings.
AB - Background: Cardiovascular diseases still represent the leading cause of morbidity and mortality, worldwide. Early detection and appropriate management of major cardiovascular risk factors in clinical practice may improve preventive strategies in Western countries, including Italy. Objective: To evaluate the prevalence of major cardiovascular risk factors and their impact on routine clinical practice of Italian general practitioners (GPs), cardiologists and diabetologists. Methods: The study involved physicians who participated in an educational project on cardiovascular risk management, the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra-Sensitisation) programme. Physicians were asked to report data already available in their clinical records of the first ten consecutive adult outpatients during May 2006. Data collection included patients' full medical history and therapies, physical examination (anthropometric parameters and blood pressure levels), laboratory results and diagnostic examinations. Data were then centrally analysed for global cardiovascular risk evaluation and cardiovascular risk profile characterization. The present study provides data from the baseline records of the EFFECTUS programme. Results: A total of 1078 physicians (73% males and 27% females, mean age 50 ± 7 years), of which 841 (78%) were GPs, 140 (13%) cardiologists and 97 (9%) diabetologists, included data from 9904 outpatients (5300 males and 4604 females, mean age 67 ± 9 years). In the overall population, 2504 (25%) subjects were obese, 7436 (75%) had hypertension, 5873 (59%) had dyslipidaemia, 3681 (37%) had diabetes mellitus and 2633 (27%) had a history of ischaemic heart disease, while 1102 (11%) and 1247 (13%) had cerebral or peripheral artery disease, respectively. Significant differences were reported in the prevalence of detected cardiovascular risk factors among physicians operating in different clinical settings. Moreover, different clinical habits were recorded. Conclusions: The present analysis illustrates a very high prevalence of cardiovascular risk factors, irrespective of the clinical settings in which patients were followed, in a vast Italian population. The study also describes differences in management of cardiovascular risk factors among physicians operating in different clinical settings.
KW - Cardiovascular prevention
KW - Cardiovascular risk management
KW - General practice
KW - Global cardiovascular risk
KW - Hypercholesterolaemia
KW - Hypertension
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=67949120078&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=67949120078&partnerID=8YFLogxK
U2 - 10.2165/00151642-200916020-00004
DO - 10.2165/00151642-200916020-00004
M3 - Article
AN - SCOPUS:67949120078
VL - 16
SP - 55
EP - 63
JO - High Blood Pressure and Cardiovascular Prevention
JF - High Blood Pressure and Cardiovascular Prevention
SN - 1120-9879
IS - 2
ER -