American Journal of Epidemiology Advance Access originally published online on April 5, 2006
American Journal of Epidemiology 2006 163(10):913-920; doi:10.1093/aje/kwj124
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Original Contribution |
Trends in the Prevalence, Awareness, Treatment, and Control of Cardiovascular Disease Risk Factors among Noninstitutionalized Patients with a History of Myocardial Infarction and Stroke
1 Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
2 Department of Medicine, Tulane University School of Medicine, New Orleans, LA
Correspondence to Dr. Paul Muntner, Department of Epidemiology, Tulane University SPHTM, 1430 Tulane Avenue, SL-18, New Orleans, LA 70112 (e-mail: pmuntner{at}tulane.edu).
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.
cerebrovascular accident; diabetes mellitus; hypertension; lipoproteins, LDL cholesterol; myocardial infarction
Abbreviations: CVD, cardiovascular disease; LDL, low density lipoprotein; NHANES, National Health and Nutrition Examination Survey; NHANES III, Third National Health and Nutrition Examination Survey
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  A Gentil, Y Bejot, L Lorgis, J Durier, M Zeller, G-V Osseby, G Dentan, J-C Beer, T Moreau, M Giroud, et al. Comparative epidemiology of stroke and acute myocardial infarction: the Dijon Vascular project (Diva) J. Neurol. Neurosurg. Psychiatry, September 1, 2009; 80(9): 1006 - 1011. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Grover, K. Gorman, T. M. Dall, R. Jonas, B. Lytle, R. Shemin, D. Wood, and I. Kron Shortage of Cardiothoracic Surgeons Is Likely by 2020 Circulation, August 11, 2009; 120(6): 488 - 494. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. T. Hirsch, T. P. Murphy, M. B. Lovell, G. Twillman, D. Treat-Jacobson, E. M. Harwood, E. R. Mohler III, M. A. Creager, R. W. Hobson II, R. M. Robertson, et al. Gaps in Public Knowledge of Peripheral Arterial Disease: The First National PAD Public Awareness Survey Circulation, October 30, 2007; 116(18): 2086 - 2094. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Melamed, A. Shirom, S. Toker, and I. Shapira Burnout and Risk of Type 2 Diabetes: A Prospective Study of Apparently Healthy Employed Persons Psychosom Med, November 1, 2006; 68(6): 863 - 869. [Abstract] [Full Text] [PDF]
|
|