Navigation Links
Millions face undiagnosed heart risk say researchers after mass screening
Date:9/2/2008

One in three people with a high risk of developing cardiovascular disease (CVD) over the next 10 years have not been diagnosed, according to a major UK study in the September issue of IJCP, the International Journal of Clinical Practice.

The shortfall in identifying people at high risk is greatest when it comes to middle-aged men, says the study of more than 71,000 men and women, which was carried out by Oxford University and funded by Unilever.

"The aim of our study was to estimate how many people were likely to develop CVD over the next ten years" explains lead author Professor Andrew Neil from the Division of Public Health and Primary Care.

"Our findings reinforce the need for a national CVD risk assessment programme and we welcome the announcement by the Department of Health earlier this year that plans are being put in place to institute primary care checks for people aged from 40 to 74."

The study suggests that 7.9 million people in the UK have already been diagnosed with CVD or have a medically recognised risk of developing the disease in the next ten years. But there are a further 2.8 million men and 900,000 women who face a high risk but have not been diagnosed. This means that they have not received the treatment and advice that could prevent them from developing CVD.

Professor Neil's research team screened 71,037 people aged 18 and over in 35 towns and cities in England, Wales and Scotland.

They found that overall, 20 per cent of the men and six per cent of the women had a high risk of developing CVD over the next ten years.

The risk was much higher in the over 50 age group.

"Our research found that 75 per cent of men and 45 per cent of women who were over 50 already had CVD or diabetes, were taking cholesterol or blood pressure drugs or were at high risk of developing CVD" says Professor Neil.

"We were reassured to discover that 60 per cent of them had already been identified by their family doctor or another primary health care professional. However, the challenge now is to identify the other 40 per cent who are at high risk of developing the disease but remain undiagnosed."

"When we looked at gender differences in this age group, we found that only 47 per cent of men had been identified as having a high CVD risk, considerably lower than the 72 per cent of women identified, possibly because women are more likely to seek medical advice.

"These figures suggest that there is significant unmet need in the UK and points to the need for a national assessment programme to detect those individuals who haven't already been identified."

The screening programme was carried out by specially trained nurses at public events and in towns and cities, including supermarket locations. 43,261 women and 27,776 men attended the mobile screening centres, which were widely advertised in local media. Anyone over 18 could take part, with the exception of pregnant women.

Twelve per cent said they had already been diagnosed with CVD or diabetes and a further eight per cent said they were already taking drugs to lower their blood pressure or cholesterol levels.

Detailed notes were made on all the participants regardless of prior diagnosis - and the 80 per cent who had not received any kind of diagnosis (56,863 people) were given a CVD risk assessment.

The nurses completed a computerised questionnaire. This included the person's age, sex, smoking habits, a brief medical history - with particular emphasis on conditions and medication related to CVD - and details of close family deaths from the disease.

Cholesterol and trygliceride (fat) level samples were obtained and the nurses also took blood pressure and waist circumference measurements.

The researchers then used the data collected by the nurses to estimate the 10-year CVD risk using the internationally recognised Framingham risk equation, which was developed after a major heart study in Massachusetts.

People were defined as high risk if they had more than a 20 per cent chance of developing CVD over the next 10 years. This criterion is in line with the Joint British Societies Guidelines on Prevention of Cardiovascular Disease in Clinical Practice, which were issued in 2005 and endorsed by the UK's National Institute of Health and Clinical Excellence in 2006.

All the study subjects who fell into the high-risk category were advised to see their family doctor and take the results from the mobile clinic with them.

People who fell into the medium risk category of 10 to 19 per cent were given verbal advice and a detailed information booklet. They were advised to talk to a pharmacist to see if they were eligible to buy a 10mg daily dose of simvastatin, a drug used to reduce cholesterol and the risk of CVD, over the counter. Smokers were also advised to talk to their pharmacists about how to stop and the best products to use.


'/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Proposed Medicare Regulations Threaten to End Millions of Free Meals Offered to Seniors During Education Seminars
2. Geisinger saves millions in medical dollars through better supply management
3. One Year Later, Millions are Losing Weight with alli(R)
4. Worlds Leading Health Experts Urge Countries to Use Newly Released Data to Prevent the Death of Millions of Children Due to Rotavirus
5. More Than 78,000 are Dead and Millions are Homeless After Cyclone Nargis Swept Through Myanmar
6. New Research and Treatment Options for Millions Suffering Headaches and Chronic Pain to be Presented at 10th Annual Headache and Pain Conference
7. New insights in diagnosing diabetes may help the millions who are undiagnosed
8. Graduates Forced to Join Millions of Uninsured Americans
9. Analysis of Millions of U.S. Births Shows Association Between Birth Defects and Preterm Birth
10. Researchers who helped millions with arthritis receive prestigious Janssen Award
11. Top UHW-W Officers Violated Federal Law, Deceived Members in Diverting Millions in Dues Money to Outside Fund
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2017)... ... May 24, 2017 , ... Adelberg-Montalvan Pediatric ... options for its patients on Long Island, New York. , Holistic dentistry ... and is one of the biggest trends in dentistry today. , Dentist ...
(Date:5/24/2017)... ... 24, 2017 , ... Fiberstar, Inc., http://www.FiberstarIngredients.com a ... beverage industry offers Citri-Fi®, a natural citrus fiber, to improve beverage ingredient declarations. ... a result, labels need to deliver simple, transparent and clear messaging. Listed food ...
(Date:5/23/2017)... ... May 23, 2017 , ... MDLand International ... company, announced today that its iClinic V12.2 solution has achieved approval from National ... recently introduced PCMH 2017 standards which emphasize team-based care with a significant focus ...
(Date:5/23/2017)... , ... May 23, 2017 , ... ... pharmaceutical and medical device sectors, today announced the winners of its 3rd Annual ... represent the most influential people in the healthcare industry today. , Out of ...
(Date:5/23/2017)... ... May 23, 2017 , ... ... a 2017 Best in KLAS category winner, has named Daniel P. Bullington as ... and enhance its technology platform and product offerings,” says Justin Neece, president. “Daniel ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... May 10, 2017 Hologic, Inc. (Nasdaq: ... for the fiscal second quarter ended April 1, 2017 ... $1.84 increased 666.7% compared to the prior year period ... in a significant gain, while non-GAAP diluted EPS of ... or 3.8% in constant currency terms.  Excluding the effects ...
(Date:5/9/2017)... 9, 2017 Zimmer Biomet Holdings, Inc. (NYSE ... today announced it has earned a spot on ... The Company was ranked among 500 U.S. employers as ... Healthcare Equipment and Services. The annual ... anonymous, independent survey of over 30,000 employees across 25 ...
(Date:5/8/2017)... , May 8, 2017  Diplomat Pharmacy, Inc. ... Communications, Inc. ("WRB"), a health care service center ... WRB specializes in relationship management programs for ... WRB will join ... commercialization support services for manufacturers, biotech firms, and other ...
Breaking Medicine Technology: