Secondary prevention of coronary heart disease is less agressive in patients over 64 years

Miguel A. Muñoz; Jaume Marrugat; Enriqueta Pujol; Enric Hernández; Maria Antonia Llauger; Cristina Contijoch; Oriol Armengol; Martí Birules; Jaume Escoda; Vicens Gonzalez; Eduard Carrión; Ignasi Pla; Jordi Admetlla; Josefa Coll; M. José Figuera; Enric Garrell; Ana M. Pérez; Juan Manuel Robles; Francesca Zapater; Enric Corona; Joana Ruiz; Francesc Anguera; Jordi Puig; Silvia Reig; Joana Ruiz; Enric Cepero; Josep Espinasa; Salvador Bertrán; Jordi Cebrià; Francisco Ortega; Jordi Sobrequés; Josep M. Viaplana; Alicia Val; Carmen Barrio; Carmen Tamayo; Ana Rosa Hernández; Ana Espinola; Eugenia Corral; Ramón Creus; Silvia Saura; Emili Marco; Jordi Taberner; Lluís Vicens; Marta Verdaguer; Begoña Santana; Anna Carme Jordana; Manel Prat; Adriana Planas; Judit Dalmau; Marta Martí; Elia Gavilan; Yolanda Romero; Ana de la Arada; Anna de Moner; Carmen Contreras; Rosa Mar de Miguel; Anna Gasol; Carmen Cabezas; Sagrario Alia; Jordi Vilaseca; M. Ángeles Mendez; Pilar Garces; Leopoldo Sandé; Gabriel Pou; Candy Lafuente; Ana Lafuente; M. del Mar Domingo; Núria Montellà; Montserrat Freixas; Judir Llussà; Silvia Zamora; Eulàlia Borrell; Xavier Mezquiriz; Xavier Joaquinet; Joan Vila; Pere Martínez; Jordi Forcada; Ana Altaba; Ernest Vinyoles; Josep Davins; Silvia Calvet; Clara Pareja; Juantxo Mendive; Mariano De la Figuera; Carmen Espel; Manel Mata; Ramón Ciurana; Carlos De Juan; Alberto Ramos; Sebastian Calero; Josep Sanz; Víctor Barriel; Andrés Cano; Montserrat Baré; Jordi Vilà; Eva Tarrats; Magda Pedrosa; Carmen Berbel; Juan A. García

doi:10.1157/13048156

Secondary prevention of coronary heart disease is less agressive in patients over 64 years

Miguel A. Muñoz, Jaume Marrugat, Enriqueta Pujol, Enric Hernández, Maria Antonia Llauger, Cristina Contijoch, Oriol Armengol, Martí Birules, Jaume Escoda, Vicens Gonzalez, Eduard Carrión, Ignasi Pla, Jordi Admetlla, Josefa Coll, M. José Figuera, Enric Garrell, Ana M. Pérez, Juan Manuel Robles, Francesca Zapater, Enric CoronaJoana Ruiz, Francesc Anguera, Jordi Puig, Silvia Reig, Joana Ruiz, Enric Cepero, Josep Espinasa, Salvador Bertrán, Jordi Cebrià, Francisco Ortega, Jordi Sobrequés, Josep M. Viaplana, Alicia Val, Carmen Barrio, Carmen Tamayo, Ana Rosa Hernández, Ana Espinola, Eugenia Corral, Ramón Creus, Silvia Saura, Emili Marco, Jordi Taberner, Lluís Vicens, Marta Verdaguer, Begoña Santana, Anna Carme Jordana, Manel Prat, Adriana Planas, Judit Dalmau, Marta Martí, Elia Gavilan, Yolanda Romero, Ana de la Arada, Anna de Moner, Carmen Contreras, Rosa Mar de Miguel, Anna Gasol, Carmen Cabezas, Sagrario Alia, Jordi Vilaseca, M. Ángeles Mendez, Pilar Garces, Leopoldo Sandé, Gabriel Pou, Candy Lafuente, Ana Lafuente, M. del Mar Domingo, Núria Montellà, Montserrat Freixas, Judir Llussà, Silvia Zamora, Eulàlia Borrell, Xavier Mezquiriz, Xavier Joaquinet, Joan Vila, Pere Martínez, Jordi Forcada, Ana Altaba, Ernest Vinyoles, Josep Davins, Silvia Calvet, Clara Pareja, Juantxo Mendive, Mariano De la Figuera, Carmen Espel, Manel Mata, Ramón Ciurana, Carlos De Juan, Alberto Ramos, Sebastian Calero, Josep Sanz, Víctor Barriel, Andrés Cano, Montserrat Baré, Jordi Vilà, Eva Tarrats, Magda Pedrosa, Carmen Berbel, Juan A. García

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Abstract

Introduction and objectives. Although elderly people has a higher incidence of coronary heart disease, this group is seldom included in clinical trials. Studies performed in Spain on elderly coronary heart disease patients have been conducted in hospital settings. The aim of our study was to analyse wether the management of coronary heart disease patients over 64 years of age cared by family physicians differed from that of the rest. Patients and method. Cross-sectional multicentre study embedded in a clinical trial on 1,022 patients with stable coronary heart disease in which socio-demographic variables, comorbidity, treatment and cardiovascular risk- factor control were collected. Results. Mean age was 64 ± 10, 74.0% were men and 53.8% of subjects were over 64 years. Patients over 64 years had a greater cardiovascular comorbidity (87.7 vs 82.6%; p = 0.002) and received lower number of drugs than the rest in the prevention of recurrences (60.4 vs 70.9%; p < 0.001). Probability to receive less than two drugs on secondary prevention by subjects over 64 years was 0.45 (95% CI, 0.30-0.68) despite comorbidity, sex and cardiovascular risk profile. Conclusions. Coronary heart disease patients over 64 years receive less drugs for coronary event recurrence prevention than their younger counterparts despite their worse cardiovascular risk profile.

Original language	English
Pages (from-to)	586-593
Journal	Revista Espanola de Cardiologia
Volume	56
Issue number	6
DOIs	https://doi.org/10.1157/13048156
Publication status	Published - 1 Jun 2003

Keywords

Aging
Coronary disease
Prevention

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10.1157/13048156

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Muñoz, M. A., Marrugat, J., Pujol, E., Hernández, E., Llauger, M. A., Contijoch, C., Armengol, O., Birules, M., Escoda, J., Gonzalez, V., Carrión, E., Pla, I., Admetlla, J., Coll, J., Figuera, M. J., Garrell, E., Pérez, A. M., Robles, J. M., Zapater, F., ... García, J. A. (2003). Secondary prevention of coronary heart disease is less agressive in patients over 64 years. Revista Espanola de Cardiologia, 56(6), 586-593. https://doi.org/10.1157/13048156

@article{1e8353aa7ff14e0b8b7a40b51781956e,

title = "Secondary prevention of coronary heart disease is less agressive in patients over 64 years",

abstract = "Introduction and objectives. Although elderly people has a higher incidence of coronary heart disease, this group is seldom included in clinical trials. Studies performed in Spain on elderly coronary heart disease patients have been conducted in hospital settings. The aim of our study was to analyse wether the management of coronary heart disease patients over 64 years of age cared by family physicians differed from that of the rest. Patients and method. Cross-sectional multicentre study embedded in a clinical trial on 1,022 patients with stable coronary heart disease in which socio-demographic variables, comorbidity, treatment and cardiovascular risk- factor control were collected. Results. Mean age was 64 ± 10, 74.0% were men and 53.8% of subjects were over 64 years. Patients over 64 years had a greater cardiovascular comorbidity (87.7 vs 82.6%; p = 0.002) and received lower number of drugs than the rest in the prevention of recurrences (60.4 vs 70.9%; p < 0.001). Probability to receive less than two drugs on secondary prevention by subjects over 64 years was 0.45 (95% CI, 0.30-0.68) despite comorbidity, sex and cardiovascular risk profile. Conclusions. Coronary heart disease patients over 64 years receive less drugs for coronary event recurrence prevention than their younger counterparts despite their worse cardiovascular risk profile.",

keywords = "Aging, Coronary disease, Prevention",

author = "Mu{\~n}oz, {Miguel A.} and Jaume Marrugat and Enriqueta Pujol and Enric Hern{\'a}ndez and Llauger, {Maria Antonia} and Cristina Contijoch and Oriol Armengol and Mart{\'i} Birules and Jaume Escoda and Vicens Gonzalez and Eduard Carri{\'o}n and Ignasi Pla and Jordi Admetlla and Josefa Coll and Figuera, {M. Jos{\'e}} and Enric Garrell and P{\'e}rez, {Ana M.} and Robles, {Juan Manuel} and Francesca Zapater and Enric Corona and Joana Ruiz and Francesc Anguera and Jordi Puig and Silvia Reig and Joana Ruiz and Enric Cepero and Josep Espinasa and Salvador Bertr{\'a}n and Jordi Cebri{\`a} and Francisco Ortega and Jordi Sobrequ{\'e}s and Viaplana, {Josep M.} and Alicia Val and Carmen Barrio and Carmen Tamayo and Hern{\'a}ndez, {Ana Rosa} and Ana Espinola and Eugenia Corral and Ram{\'o}n Creus and Silvia Saura and Emili Marco and Jordi Taberner and Llu{\'i}s Vicens and Marta Verdaguer and Bego{\~n}a Santana and Jordana, {Anna Carme} and Manel Prat and Adriana Planas and Judit Dalmau and Marta Mart{\'i} and Elia Gavilan and Yolanda Romero and {de la Arada}, Ana and {de Moner}, Anna and Carmen Contreras and {de Miguel}, {Rosa Mar} and Anna Gasol and Carmen Cabezas and Sagrario Alia and Jordi Vilaseca and Mendez, {M. {\'A}ngeles} and Pilar Garces and Leopoldo Sand{\'e} and Gabriel Pou and Candy Lafuente and Ana Lafuente and {del Mar Domingo}, M. and N{\'u}ria Montell{\`a} and Montserrat Freixas and Judir Lluss{\`a} and Silvia Zamora and Eul{\`a}lia Borrell and Xavier Mezquiriz and Xavier Joaquinet and Joan Vila and Pere Mart{\'i}nez and Jordi Forcada and Ana Altaba and Ernest Vinyoles and Josep Davins and Silvia Calvet and Clara Pareja and Juantxo Mendive and {De la Figuera}, Mariano and Carmen Espel and Manel Mata and Ram{\'o}n Ciurana and {De Juan}, Carlos and Alberto Ramos and Sebastian Calero and Josep Sanz and V{\'i}ctor Barriel and Andr{\'e}s Cano and Montserrat Bar{\'e} and Jordi Vil{\`a} and Eva Tarrats and Magda Pedrosa and Carmen Berbel and Garc{\'i}a, {Juan A.}",

year = "2003",

month = jun,

day = "1",

doi = "10.1157/13048156",

language = "English",

volume = "56",

pages = "586--593",

number = "6",

}

Muñoz, MA, Marrugat, J, Pujol, E, Hernández, E, Llauger, MA, Contijoch, C, Armengol, O, Birules, M, Escoda, J, Gonzalez, V, Carrión, E, Pla, I, Admetlla, J, Coll, J, Figuera, MJ, Garrell, E, Pérez, AM, Robles, JM, Zapater, F, Corona, E, Ruiz, J, Anguera, F, Puig, J, Reig, S, Ruiz, J, Cepero, E, Espinasa, J, Bertrán, S, Cebrià, J, Ortega, F, Sobrequés, J, Viaplana, JM, Val, A, Barrio, C, Tamayo, C, Hernández, AR, Espinola, A, Corral, E, Creus, R, Saura, S, Marco, E, Taberner, J, Vicens, L, Verdaguer, M, Santana, B, Jordana, AC, Prat, M, Planas, A, Dalmau, J, Martí, M, Gavilan, E, Romero, Y, de la Arada, A, de Moner, A, Contreras, C, de Miguel, RM, Gasol, A, Cabezas, C, Alia, S, Vilaseca, J, Mendez, MÁ, Garces, P, Sandé, L, Pou, G, Lafuente, C, Lafuente, A, del Mar Domingo, M, Montellà, N, Freixas, M, Llussà, J, Zamora, S, Borrell, E, Mezquiriz, X, Joaquinet, X, Vila, J, Martínez, P, Forcada, J, Altaba, A, Vinyoles, E, Davins, J, Calvet, S, Pareja, C, Mendive, J, De la Figuera, M, Espel, C, Mata, M, Ciurana, R, De Juan, C, Ramos, A, Calero, S, Sanz, J, Barriel, V, Cano, A, Baré, M, Vilà, J, Tarrats, E, Pedrosa, M, Berbel, C & García, JA 2003, 'Secondary prevention of coronary heart disease is less agressive in patients over 64 years', Revista Espanola de Cardiologia, vol. 56, no. 6, pp. 586-593. https://doi.org/10.1157/13048156

TY - JOUR

T1 - Secondary prevention of coronary heart disease is less agressive in patients over 64 years

AU - Muñoz, Miguel A.

AU - Marrugat, Jaume

AU - Pujol, Enriqueta

AU - Hernández, Enric

AU - Llauger, Maria Antonia

AU - Contijoch, Cristina

AU - Armengol, Oriol

AU - Birules, Martí

AU - Escoda, Jaume

AU - Gonzalez, Vicens

AU - Carrión, Eduard

AU - Pla, Ignasi

AU - Admetlla, Jordi

AU - Coll, Josefa

AU - Figuera, M. José

AU - Garrell, Enric

AU - Pérez, Ana M.

AU - Robles, Juan Manuel

AU - Zapater, Francesca

AU - Corona, Enric

AU - Ruiz, Joana

AU - Anguera, Francesc

AU - Puig, Jordi

AU - Reig, Silvia

AU - Ruiz, Joana

AU - Cepero, Enric

AU - Espinasa, Josep

AU - Bertrán, Salvador

AU - Cebrià, Jordi

AU - Ortega, Francisco

AU - Sobrequés, Jordi

AU - Viaplana, Josep M.

AU - Val, Alicia

AU - Barrio, Carmen

AU - Tamayo, Carmen

AU - Hernández, Ana Rosa

AU - Espinola, Ana

AU - Corral, Eugenia

AU - Creus, Ramón

AU - Saura, Silvia

AU - Marco, Emili

AU - Taberner, Jordi

AU - Vicens, Lluís

AU - Verdaguer, Marta

AU - Santana, Begoña

AU - Jordana, Anna Carme

AU - Prat, Manel

AU - Planas, Adriana

AU - Dalmau, Judit

AU - Martí, Marta

AU - Gavilan, Elia

AU - Romero, Yolanda

AU - de la Arada, Ana

AU - de Moner, Anna

AU - Contreras, Carmen

AU - de Miguel, Rosa Mar

AU - Gasol, Anna

AU - Cabezas, Carmen

AU - Alia, Sagrario

AU - Vilaseca, Jordi

AU - Mendez, M. Ángeles

AU - Garces, Pilar

AU - Sandé, Leopoldo

AU - Pou, Gabriel

AU - Lafuente, Candy

AU - Lafuente, Ana

AU - del Mar Domingo, M.

AU - Montellà, Núria

AU - Freixas, Montserrat

AU - Llussà, Judir

AU - Zamora, Silvia

AU - Borrell, Eulàlia

AU - Mezquiriz, Xavier

AU - Joaquinet, Xavier

AU - Vila, Joan

AU - Martínez, Pere

AU - Forcada, Jordi

AU - Altaba, Ana

AU - Vinyoles, Ernest

AU - Davins, Josep

AU - Calvet, Silvia

AU - Pareja, Clara

AU - Mendive, Juantxo

AU - De la Figuera, Mariano

AU - Espel, Carmen

AU - Mata, Manel

AU - Ciurana, Ramón

AU - De Juan, Carlos

AU - Ramos, Alberto

AU - Calero, Sebastian

AU - Sanz, Josep

AU - Barriel, Víctor

AU - Cano, Andrés

AU - Baré, Montserrat

AU - Vilà, Jordi

AU - Tarrats, Eva

AU - Pedrosa, Magda

AU - Berbel, Carmen

AU - García, Juan A.

PY - 2003/6/1

Y1 - 2003/6/1

N2 - Introduction and objectives. Although elderly people has a higher incidence of coronary heart disease, this group is seldom included in clinical trials. Studies performed in Spain on elderly coronary heart disease patients have been conducted in hospital settings. The aim of our study was to analyse wether the management of coronary heart disease patients over 64 years of age cared by family physicians differed from that of the rest. Patients and method. Cross-sectional multicentre study embedded in a clinical trial on 1,022 patients with stable coronary heart disease in which socio-demographic variables, comorbidity, treatment and cardiovascular risk- factor control were collected. Results. Mean age was 64 ± 10, 74.0% were men and 53.8% of subjects were over 64 years. Patients over 64 years had a greater cardiovascular comorbidity (87.7 vs 82.6%; p = 0.002) and received lower number of drugs than the rest in the prevention of recurrences (60.4 vs 70.9%; p < 0.001). Probability to receive less than two drugs on secondary prevention by subjects over 64 years was 0.45 (95% CI, 0.30-0.68) despite comorbidity, sex and cardiovascular risk profile. Conclusions. Coronary heart disease patients over 64 years receive less drugs for coronary event recurrence prevention than their younger counterparts despite their worse cardiovascular risk profile.

AB - Introduction and objectives. Although elderly people has a higher incidence of coronary heart disease, this group is seldom included in clinical trials. Studies performed in Spain on elderly coronary heart disease patients have been conducted in hospital settings. The aim of our study was to analyse wether the management of coronary heart disease patients over 64 years of age cared by family physicians differed from that of the rest. Patients and method. Cross-sectional multicentre study embedded in a clinical trial on 1,022 patients with stable coronary heart disease in which socio-demographic variables, comorbidity, treatment and cardiovascular risk- factor control were collected. Results. Mean age was 64 ± 10, 74.0% were men and 53.8% of subjects were over 64 years. Patients over 64 years had a greater cardiovascular comorbidity (87.7 vs 82.6%; p = 0.002) and received lower number of drugs than the rest in the prevention of recurrences (60.4 vs 70.9%; p < 0.001). Probability to receive less than two drugs on secondary prevention by subjects over 64 years was 0.45 (95% CI, 0.30-0.68) despite comorbidity, sex and cardiovascular risk profile. Conclusions. Coronary heart disease patients over 64 years receive less drugs for coronary event recurrence prevention than their younger counterparts despite their worse cardiovascular risk profile.

KW - Aging

KW - Coronary disease

KW - Prevention

U2 - 10.1157/13048156

DO - 10.1157/13048156

M3 - Article

SN - 0300-8932

VL - 56

SP - 586

EP - 593

JO - Revista Espanola de Cardiologia

JF - Revista Espanola de Cardiologia

IS - 6

ER -

Secondary prevention of coronary heart disease is less agressive in patients over 64 years

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