Abstract | UNLABELLED: Limited data are available regarding drug prescription for cardiovascular prevention in elderly patients seen by cardiologists. METHODS: RESULTS: The rates of prescription in the overall survey population were respectively 68% for antiplatelet agents, 67% for lipid lowering drugs (of which 85% were on a statin), 51% for beta-blockers and 41% for angiotensin converting enzyme inhibitors. Among patients with coronary heart disease, prescription rates were 42% for ACE-inhibitors, 58% for beta-blockers, 76% for antiplatelet agents and 72% for lipid-lowering agents, 85% of whom received a statin. The ELIAGE survey shows a high prevalence of persistent dyslipidemia, with 46% of patients having a LDL-cholesterol equal to or greater than 1.25 g/l and 15% > or = 1.60 g/l. Despite lipid-lowering therapy, LDL-cholesterol remained equal to or greater than 1.25 g/l in 40% of treated patients and > or = 1.60 g/l in 13%. Blood pressure control was not better with 61% of patients having systolic blood pressure > or = 140 mmHg and 21% > or = 160 mmHg. In multivariate analysis, increase was inversely associated with the prescription of lipid-lowering therapy. CONCLUSION: The ELIAGE survey in France shows the persistence of poor control of modifiable risk factors among elderly patients seen by cardiologists. Both primary and secondary cardiovascular prevention appear to be unsatisfactory. Improved utilisation of proven therapeutic classes may lead to improvements in cardiovascular prevention.
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Authors | F Philippe, N Danchin, S Quentzel, J P Cambou |
Journal | Annales de cardiologie et d'angeiologie
(Ann Cardiol Angeiol (Paris))
Vol. 53
Issue 6
Pg. 339-46
(Nov 2004)
ISSN: 0003-3928 [Print] France |
Vernacular Title | Utilisation des classes thérapeutiques majeures en prévention cardiovasculaire chez le sujet âgé suivi en consultation de cardiologie. Résultats de l'enquête ELIAGE. |
PMID | 15603177
(Publication Type: English Abstract, Journal Article, Multicenter Study)
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Topics |
- Aged
- Aged, 80 and over
- Cardiology
- Cardiovascular Diseases
(prevention & control)
- Drug Utilization
- Female
- Humans
- Male
- Practice Patterns, Physicians'
- Surveys and Questionnaires
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