Coronary heart disease (CHD) is the principal cause of
death in the United States for women and men. Coronary artery disease is also
known as arteriosclerotic heart disease, CHD or CAD.
Coronary heart disease
occurs primarily by the formation and deposition of plaque in the arteries.
This is also termed as the hardening of the arteries.
The plaque is formed
by the fatty materials that get deposited on the inner walls of the arteries.
Coronary arteries carry blood and oxygen to heart. These arteries become narrow
due to the deposition of the plaque. This hampers the blood flow to the heart
and can result in serious implications.
Primary care has an
important role in the cardiovascular risk management (CVRM). Jan Van Lieshout
and colleagues observed cardiovascular risk management (CVRM) in coronary heart
patients and their study was published in BMC family Practices 2012.
They conducted an
observational study across eight nations and collected data of patients with
primary care practices from their electronic records. Records from 2960 CHD
patients were collected.
management (CVRM) was measured on the basis of internationally validated
The experts performed
analysis on the basis of multilevel regression that controlled patient's sex
discovered 'substantial variation on all CVRM indicators across practices and
The rates of risk
factor for physical activity were found to be 55 percent, 94 percent for blood
pressure. 'Rates for reaching treatment targets for systolic blood pressure,
diastolic blood pressure and LDL cholesterol were 46% (sd 21%), 86% (sd 12%)
and 48% (sd 22%) respectively. Rates for providing recommended cholesterol
lowering and antiplatelet drugs were around 80% and 70% received influenza
management (CVRM) assessment revealed prominent differences between different
countries involved in the study and showed room for improvisation.
Cardiovascular risk management in patients with coronary heart disease
in primary care: variation across countries and practices. an observational
study based on quality indicators; Jan Van Lieshout et al; BMC Family Practice