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Secondary prevention of coronary heart disease: a cross-sectional analysis on the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Birck, Marina Gabriela; Center for Clinical and Epidemiological ResearchGoulart, Alessandra Carvalho; Department of Internal MedicineLotufo, Paulo Andrade; Center for Clinical and Epidemiological ResearchBenseñor, Isabela Martins.
  • Birck, Marina Gabriela; Universidade de São Paulo. Faculdade de Medicina. São Paulo. BR
  • Center for Clinical and Epidemiological ResearchGoulart, Alessandra Carvalho; Universidade de São Paulo. Hospital Universitário. Center for Clinical and Epidemiological ResearchGoulart, Alessandra Carvalho. São Paulo. BR
  • Department of Internal MedicineLotufo, Paulo Andrade; Universidade de São Paulo. Faculdade de Medicina. Department of Internal MedicineLotufo, Paulo Andrade. São Paulo. BR
  • Center for Clinical and Epidemiological ResearchBenseñor, Isabela Martins; Universidade de São Paulo. Hospital Universitário. Center for Clinical and Epidemiological ResearchBenseñor, Isabela Martins. São Paulo. BR
São Paulo med. j ; 137(3): 223-233, May-June 2019. tab
Artículo en Inglés | LILACS | ID: biblio-1020960
ABSTRACT
ABSTRACT

BACKGROUND:

Coronary heart disease (CHD) remains a major cause of mortality worldwide and in Brazil. Use of standard medications after CHD has been proven to avoid new events and reduce early mortality.

OBJECTIVES:

This study aimed to analyze secondary prevention of CHD and its association with the baseline characteristics of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). DESIGN AND

SETTING:

Cross-sectional analysis on ELSA-Brasil data.

METHODS:

Secondary prevention of CHD recommended in standard guidelines (antiplatelet plus beta-blocker plus lipid-lowering drug, with or without angiotensin-converting enzyme inhibitors, ACEI, or angiotensin receptor blockers, ARB) was evaluated in relation to sociodemographic data and the time since the coronary event. The chi-square test, one-way analysis of variance (ANOVA) and Mann-Whitney test were performed, as necessary.

RESULTS:

Among 15,094 participants, 2.7% reported a previous diagnosis of CHD. Use of recommended drugs for secondary prevention was reported by almost 35% of the participants. Medication use for secondary prevention was generally more frequent among high-income participants than among low-income participants. Use of ARB and ACEI was different between participants who had private health insurance and those who only used the public healthcare system. Men were more likely to use medication than women. The frequency with which participants used the recommended drugs was similar in all time periods after CHD, but use of only one drug increased progressively across time periods.

CONCLUSION:

The use of medication for secondary prevention of CHD was lower than what is recommended in standardized guidelines, especially among women and lower-income participants.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Enfermedad Coronaria / Prevención Secundaria Tipo de estudio: Guía de Práctica Clínica / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adulto / Anciano / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2019 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Enfermedad Coronaria / Prevención Secundaria Tipo de estudio: Guía de Práctica Clínica / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adulto / Anciano / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2019 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade de São Paulo/BR