Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/97610
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Type: Journal article
Title: The Heart Health Study - increasing cardiovascular risk assessment in family practice for first degree relatives of patients with premature ischaemic heart disease: a randomised controlled trial
Author: Stocks, N.
Broadbent, J.
Lorimer, M.
Tideman, P.
Chew, D.
Wittert, G.
Ryan, P.
Citation: BMC Family Practice, 2015; 16(1):116-1-116-7
Publisher: BioMed Central
Issue Date: 2015
ISSN: 1471-2296
1471-2296
Statement of
Responsibility: 
Nigel P. Stocks, Jessica L. Broadbent, Michelle F. Lorimer, Philip Tideman, Derek P. Chew, Gary Wittert and Philip Ryan
Abstract: This study aimed to increase cardiovascular disease (CVD) risk assessment in adult first degree relatives of patients with premature ischaemic heart disease (PIHD) using written and verbal advice.A prospective, randomised controlled trial.Cardiovascular wards at three South Australian hospitals. Cardiovascular risk assessments were performed in general practice.Patients experiencing PIHD (heart disease in men aged <55 years or women aged < 65 years) and their first degree relatives.Patients distributed either general information about heart disease and written advice to attend their general practitioner (GP) for CVD risk assessment or general information about heart disease only, to their first degrees relatives.The primary outcome was the proportion of relatives who attended their GP for CVD risk assessment within 6 months of the patients' PIHD event.One hundred forty four patients were recruited who had 541 eligible relatives; 97/541 (18 %) of relatives agreed to participate. A larger number of intervention 41/55 (75 %) than control group 9/42 (21 %) [difference 53 %, 95 % CI 36 % - 71 %] relatives attended their GP for a CVD assessment, and 34 % of these had moderate to very high 5-year absolute risk for CVD.This low cost intervention demonstrates that individuals who have a family history of PIHD and are at moderate or high risk of CVD can be targeted for early intervention of modifiable risk factors. Further research is required to improve the uptake of the intervention in relatives.The trial was registered with the Australian Clinical Trials Registry (ACTRN), Registration ID 12613000557730 .
Keywords: Humans; Myocardial Ischemia; Risk Assessment; Risk Factors; Family; Adult; Aged; Middle Aged; Female; Male; Patient Education as Topic; General Practice
Description: Published: 3 September 2015
Rights: © 2015 Stocks et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
RMID: 0030034355
DOI: 10.1186/s12875-015-0328-4
Appears in Collections:General Practice publications

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