scholarly journals Evidence for an age and gender bias in the secondary prevention of ischaemic heart disease in primary care

2003 ◽  
Vol 55 (6) ◽  
pp. 604-608 ◽  
Author(s):  
David Williams ◽  
Kathleen Bennett ◽  
John Feely
Keyword(s):  
Primary Care ◽  
Heart Disease ◽  
Secondary Prevention ◽  
Ischaemic Heart Disease ◽  
Gender Bias ◽  
Age And Gender ◽  
And Gender

Epidemiology, morbidity and mortality in Behçet’s disease: a cohort study using The Health Improvement Network (THIN)

Rheumatology ◽  
2020 ◽  
Vol 59 (10) ◽  
pp. 2785-2795 ◽  
Author(s):  
Tom Thomas ◽  
Joht Singh Chandan ◽  
Anuradhaa Subramanian ◽  
Krishna Gokhale ◽  
George Gkoutos ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Cohort Study ◽  
Heart Disease ◽  
General Population ◽  
Venous Thrombosis ◽  
Ischaemic Heart Disease ◽  
Thromboembolic Disease ◽  
Age And Gender ◽  
Increased Risk ◽  
And Gender

Abstract Objectives The epidemiology of Behçet’s disease (BD) has not been well characterized in the UK. Evidence on the risk of cardiovascular disease, thromboembolic disease and mortality in patients with BD compared with the general population is scarce. Methods We used a large UK primary care database to investigate the epidemiology of BD. A retrospective matched cohort study was used to assess the following outcomes: risk of cardiovascular, thromboembolic disease and mortality. Controls were selected at a 1:4 ratio (age and gender matched). Cox proportional hazard models were used to derive adjusted hazard ratios (aHR). Results The prevalence of BD was 14.61 (95% CI 13.35–15.88) per 100 000 population in 2017. A total of 1281 patients with BD were compared with 5124 age- and gender-matched controls. There was significantly increased risk of ischaemic heart disease [aHR 3.09 (1.28–7.44)], venous thrombosis [aHR 4.80 (2.42–9.54)] and mortality [aHR 1.40 (1.07–1.84)] in patients with BD compared with corresponding controls. Patients with BD were at higher risk of pulmonary embolism compared with corresponding controls at baseline [adjusted odds ratio 4.64 (2.66–8.09), P < 0.0001]. The majority of patients with pulmonary embolism and a diagnosis of BD had pulmonary embolism preceding the diagnosis of BD, not after (87.5%; n = 28/32). Conclusion BD has a higher prevalence than previously thought. Physicians should be aware of the increased risk of developing ischaemic heart disease, stroke/transient ischaemic attack and deep venous thrombosis in patients with BD at an earlier age compared with the general population. Risk of embolism in patients with BD might vary across the disease course.

Age and Gender Biases in Secondary??Prevention of Coronary??Heart Disease in a Finnish??University Hospital Setting

2007 ◽  
Vol 27 (10) ◽  
pp. 673-681 ◽  
Author(s):  
Sanna-Maria Michou ◽  
Mika K??h??nen ◽  
Terho Lehtim??ki ◽  
Kjell Nikus ◽  
Jari Viik ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Secondary Prevention ◽  
Hospital Setting ◽  
University Hospital ◽  
Age And Gender ◽  
Gender Biases ◽  
And Gender

scholarly journals Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis

2015 ◽  
Vol 65 (636) ◽  
pp. e460-e468 ◽  
Author(s):  
Edel Murphy ◽  
Akke Vellinga ◽  
Molly Byrne ◽  
Margaret E Cupples ◽  
Andrew W Murphy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Heart Disease ◽  
Secondary Prevention ◽  
Ischaemic Heart Disease ◽  
Meta Analysis

The secondary prevention for ischaemic heart disease after coronary bypass grafting – follow up study

2017 ◽  
Vol 263 ◽  
pp. e158
Author(s):  
Vera Adamkova ◽  
Petr Kacer ◽  
Jaroslav Hubacek ◽  
Ivana Kralova Lesna ◽  
Vera Lanska ◽  
...  
Keyword(s):  
Heart Disease ◽  
Secondary Prevention ◽  
Ischaemic Heart Disease ◽  
Coronary Bypass ◽  
Bypass Grafting ◽  
Coronary Bypass Grafting ◽  
Follow Up Study

scholarly journals A Cross-Sectional Study To Evaluate age and Gender Related Differences in Drug Utilization in Ischemic Heart Disease at a Tertiary Care Hospital

2018 ◽  
Vol 11 (4) ◽  
pp. 1967-1974
Author(s):  
Praveen Panchaksharimath ◽  
A. N. Praveen ◽  
R. Manjunath
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Drug Utilization ◽  
Ischemic Heart ◽  
Lipid Lowering ◽  
Prescription Data ◽  
Cross Sectional ◽  
Age And Gender ◽  
Anti Platelet Therapy ◽  
And Gender

Drug utilization study is a powerful exploratory tool to evaluate the present trends of drug prescribing and appropriateness of prescription. To analyse the age and gender related differences in utilization of different classes of drugs in patients for Ischemic heart disease (IHD) management. This cross-sectional observational study was conducted from August 2017 to March 2018 in Cardiology department, PMSSY, BMC&RI, Bengaluru. The demographic, and drug prescription data of IHD patients were analyzed according to age group (18–59 years versus ≥ 60 years) and gender wise. Out of 520 patients diagnosed with IHD, 68% were male patients and 60% were aged ≥ 60 years. The most common co-morbid condition was Hypertension (66%) and was significant in patients aged ≥ 60 years (P= 0.0033). Anti-platelet drugs (100%) followed by Lipid lowering drugs (96%) were most commonly prescribed. The average number of drugs per prescription was found to be 6.44. Prescription of Dual anti-platelet therapy was found to be significant among men (<0.0001). Prescription of Diuretics (p = 0.045) and Pregabalin (p = 0.031) were significantly higher among females and Prescription of Angiotensin receptor blockers (ARBs) was significantly higher among those aged 18–59 years. Hypertension and Diabetes Mellitus were the most common co-morbidities observed with IHD. ARBs, Diuretics, Proton pump inhibitors, Anti Diabetic Agents and Pregabalin showed significant differences in the drug utilization with respect to age and gender. Dual anti-platelet therapy was observed to be significantly higher among males. This study has been registered in CTRI (CTRI/2018/05/013949).

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