| Titre : | Trends in the prevalence, awareness, treatment, and control of cardiovascular disease risk factors among noninstitutionalized patients with a history of myocardial infarction and stroke. (2006) |
| Auteurs : | Paul MUNTNER ; Karen-B DESALVO ; . JIANG HE ; Paolo RAGGI ; Paul-K WHELTON ; Rachel-P WILDMAN ; Tulane University School of Medicine. Department of Medicine. New Orleans LA. FRA ; Tulane University School of Public Health and Tropical Medicine. Department of Epidemiology. New Orleans LA. FRA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 163, n° 10, 2006) |
| Pagination : | 913-920 |
| Langues: | Anglais |
| Mots-clés : | Tendance séculaire ; Prévalence ; Accident cérébrovasculaire ; Epidémiologie ; Diabète ; Thérapeutique ; Hypertension artérielle ; Facteur risque ; Homme ; Malade ; Antécédent médical ; Lipoprotéine ; Attitude ; Lipide ; Appareil circulatoire [pathologie] ; Myocarde [pathologie] ; Vaisseau sanguin encéphale [pathologie] ; Système nerveux [pathologie] ; Vaisseau sanguin [pathologie] ; Glande endocrine [pathologie] ; Cardiopathie ; Métabolisme [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 2i16R0xh. Diffusion soumise à autorisation]. Rates of hypertension, high low density lipoprotein (LDL) cholesterol, and diabetes mellitus awareness, treatment, and control for persons with a history of myocardial infarction and stroke were compared by using two nationally representative samples of the US population : the Third National Health and Nutrition Examination Survey in 1988-1994 (n=1,004) and the National Health and Nutrition Examination Survey in 1999-2002 (n=512). Estimated numbers of adult myocardial infarction and stroke survivors increased from 6.32 to 6.78 million and from 3.85 to 4.96 million, respectively. Among such survivors, awareness of a previous diagnosis of hypertension and prevalence of self-reported diabetes mellitus remained stable while awareness of high LDL cholesterol increased from 43.3% to 60.2% (p<0.01). Among those aware of their diagnosis, pharmacologic treatment for high LDL cholesterol increased from 33.1% to 78.4% and pharmacologic treatment for diabetes mellitus increased from 80.0% to 93.6% during this time (each p<0.01), while pharmacologic treatment for hypertension increased nonsignificantly. Among those receiving pharmacologic treatment, hypertension and high LDL cholesterol control increased from 48.9% to 59.3% (p=0.05) and from 5.1% to 33.1% (p<0.01), respectively. In contrast, glycemic control among diabetics decreased from 45.0% to 33.2% (p=0.20). The number of US myocardial infarction and stroke survivors increased between 1988-1994 and 1999-2002, and substantial improvements occurred in the awareness, treatment, and control of high LDL cholesterol in this population. |
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