Do socioeconomic status and ethnicity predict CR outcomes in coronary heart disease patients in Denmark?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
I Kjesbu ◽  
K.L Sibilitz ◽  
E Prescott
Keyword(s):  
Blood Pressure ◽  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Medical Treatment ◽  
Low Socioeconomic Status ◽  
Educational Level ◽  
Stable Coronary Artery Disease ◽  
Basic Medium

Abstract Background Cardiac patients with low socioeconomic status and other ethnic background have worse prognosis and outcomes. Cardiac rehabilitation (CR) has the potential to diminish this socioeconomic and ethnical disparity, but evidence is lacking. Purpose To describe if socioeconomic status and ethnicity predicts CR outcomes in coronary heart disease (CHD) patients in Denmark. Methods The study is based “The Danish Cardiac rehabilitation database” (DHRD) which monitors quality of CR in Denmark. The study population are all patients with CHD (myocardial infarction or stable coronary artery disease with revascularization or medical treatment) participating in CR reported to the database from Aug 2015 to Mar 2018. The quality indicators (QI) were >80% participation in exercise sessions, >10% increase in VO2peak, smoking cessation, LDL <1.8mmol/L (or 50% reduction of baseline LDL), blood pressure <140/90, dietary consulting, screening for diabetes, screening for depression and medical treatment with acetylsalicylic acid, statins and beta-blockers at completion of CR. Educational level as a marker for socioeconomic status was divided into no-, basic-, medium- and high education, and ethnicity into Danish, Western and non-western origin. We compared QI across educational level and ethnicity using descriptive statistics. Results Analyses are based on 9000 patients. Age and gender differed significantly in the groups (all p<0.001). Medical treatment and achievement of LDL- and blood pressure control was overall good with no difference across socioeconomic strata or ethnicity. Despite similar participation rate, higher education was associated with greater improvements in VO2peak. Patients of non-western ethnicity were less often screened for depression and less often received dietary consulting. Conclusion In this nationwide quality database for CR, medical treatment and achievement of traditional risk factor goals was good across socioeconomic and ethnic strata. However, outcome in VO2peak and implementation of screening for depression and diabetes showed disparity across socioeconomic and ethnic groups. The effect on long-term outcomes remains to be addressed. Funding Acknowledgement Type of funding source: None

P4346Religious education and midlife observance are associated with lower coronary heart disease (CHD) mortality 23 years later

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Eilat-Adar ◽  
U Goldbourt
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Systolic Blood Pressure ◽  
Body Mass ◽  
Reference Group ◽  
Middle Aged

Abstract Objective To determine whether self-reported religiosity is associated with decreased coronary mortality risk in middle-aged men when rates are adjusted for known confounders. Design The Israeli Ischemic Heart Disease (IIHD) Project (n=10,232) was chosen by stratified sampling of civil servants and municipal male employees, men aged 40–65 in 1963. Subjects were seen upon enrollment (1963) and at two follow-up visits (1965 and 1968). Extent of religiosity according to belief and practice collected in 1965 on a scale from 1 to 5. Religiosity was defined as follow: (1) The most-strict observance of religious rules “Haredim”. (2) “Religious” (3) “Traditional” (4) “Secular” (5) The part of the latter who declared themselves to be “nonbelievers” were categorized as “agnostic”. Main outcome measure Coronary heart disease (CHD) death, determined from death certificates in 23 years of follow-up Results Among 9245 participants, 1098 died from CHD during 23 years follow up. Ever smoking, Body mass index (BMI) and socioeconomic status were significantly lower while age and diabetes were higher according to increasing religiosity. Religiosity was inversely related to CHD mortality. Demographic, anthropometric characteristics according to religion, and odds ratio (OR), 95% confidence interval (95% CI), for CHD mortality, (using agnostic as a reference group) are presented in table 1. Characteristics according to religion Religiosity Haredim (n=2103) Religious (n=1528) Traditional (n=1782) Secular (n=2085) Agnostic (n=1747) P for trend Age years (SD) 50.2 (6.9) 48.8 (6.6) 48.4 (6.7) 48.8 (6.6) 45.9 (6.8) <0.001 Ever smoking% 58.7 67.6 70.7 71.9 72.6 0.001 Systolic blood pressure (mmHg) 136 (21) 135 (20) 135 (21) 134 (20) 135 (20) 0.115 Diabetes (%) 9.8 11.1 8.3 8.8 6.5 <0.001 Socioeconomic status 2.2 (1.3) 2.3 (1.1) 2.7 (1.1) 2.7 (1.2) 3.1 (1.4) <0.001 BMI kg/m2 (SD) 22.5 (3.6) 25.9 (3.5) 25.9 (3.2) 25.6 (3.2) 25.4 (2.9) 0.028 Cholesterol (mg%) 201 (38) 207 (41) 208 (39) 214 (40) 218 (40) 0.001 Number of death (% category) 187 (8.9) 161 (10.5) 185 (10.4) 228 (10.9) 225 (12.9) <0.001 OR (95% CI)* 0.67 (0.53–0.85) 0.85 (0.67–1.08) 0.84 (0.67–1.05) 0.87 (0.71–1.08) 1 *Adjusted for age, cigarette smoking, systolic blood pressure, diabetes, socioeconomic status, body mass index and cholesterol. Conclusion Religiosity was associated with lower CHD death in employed middle aged Israeli men followed up prospectively for 23 years.

Healthy diet in Canadians of low socioeconomic status with coronary heart disease: Not just a matter of knowledge and choice

Heart & Lung ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 156-163 ◽  
Author(s):  
Alexander M. Clark ◽  
Amanda S. Duncan ◽  
June E. Trevoy ◽  
Stephanie Heath ◽  
Michael Chan
Keyword(s):  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Low Socioeconomic Status ◽  
Healthy Diet ◽  
Low Socioeconomic

scholarly journals PERBEDAAN TANDA- TANDA VITAL DAN EKG SEBELUM DAN SESUDAH REHABILITASI JANTUNG FASE 1 PADA PASIEN PENYAKIT JANTUNG KORONER

2021 ◽  
Vol 2 (3) ◽  
pp. 167-178
Author(s):  
Kuspariyah Romelah
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Phase 1 ◽  
Vital Signs ◽  
Test Design ◽  
Before And After ◽  
Post Test ◽  
Sample Test

ABSTRAK Penyakit jantung koroner adalah penimbunan plak pada pembuluh darah koroner, sehingga menyebabkan arteri koroner menyempit atau tersumbat. Tujuan penelitian ini untuk menganalisis  perbedaan tanda- tanda vital dan ekg sebelum dan sesudah rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner.  Desain penelitian ini one Group Pre dan Post Test Design. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah sampel 32 responden pasien. Analisa data menggunakan uji  Pairet T Sample test. Hasil penelitian  yang menunjukkan  normal sebelum   rehabilitasi jantung fase 1  tekanan darah sistole  65,63%, tekanan darah diastole 78,12%,  nadi 78,13%, respirasi 100%, suhu 87,5%, ekg 68,75%. Dan yang menunjukkan normal  sesudah  rehabilitasi jantung fase 1 yaitu   tekanan darah sistole 75% , tekanan darah diastole  93,75%,  nadi 68,75%, respirasi 68,75%, suhu 100% ekg 87,5%. Hasil uji statistik Pairet T Sample Test didapatkan 0,012 (< 0,05).  Kesimpulannya  adalah ada perbedaan tanda- tanda vital dan ekg sebelum dan sesudah  rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner di IPJT RSSA Malang.   Kata kunci : Rehabilitasi, Tanda- tanda vital, Penyakit Jantung Koroner     ABSTRACT Coronary heart disease is the accumulation of plaque in the coronary arteries, causing the coronary arteries to become narrowed or blocked. The purpose of this study was to analyze the differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in patients with coronary heart disease. The design of this research is one group pre and post test design. Sampling using purposive sampling technique with a sample of 32 patient respondents. Analysis of the data using the Pairet T Sample test. The results showed normal before cardiac rehabilitation phase 1 systolic blood pressure 65.63%, diastolic blood pressure 78.12%, pulse 78.13%, respiration 100%, temperature 87.5%, ecg 68.75%. And what showed normal after phase 1 cardiac rehabilitation were systolic blood pressure 75%, diastolic blood pressure 93.75%, pulse 68.75%, respiration 68.75%, temperature 100% ecg 87.5%. The results of the Pairet T Sample Test statistical test obtained 0.012 (<0.05). The conclusion is that there are differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in coronary heart disease patients at IPJT RSSA Malang.   Key words :  Rehabilitation, Vital signs, Coronary Heart Disease

scholarly journals Association of Low Socioeconomic Status With Premature Coronary Heart Disease in US Adults

2020 ◽  
Vol 5 (8) ◽  
pp. 899 ◽  
Author(s):  
Rita Hamad ◽  
Joanne Penko ◽  
Dhruv S. Kazi ◽  
Pamela Coxson ◽  
David Guzman ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Premature Coronary Heart Disease
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