Cf1.5 Global Cardiovascular Risk Profile And Management Of Dyslipidaemia In General Practice

Author(s): 
K. Bally, U. Halter, R. Isler, B. Martina, P. Tschudi
Institute for Family Medicine, University of Basel, Basel, Switzerland
Text: 
Background.
Although actual scoring schemes to estimate cardiovascular risk profile are known to GPs they screen and treat dyslipidaemia often not according to the risk profile. The aim of this study is to analyse the quality of primary and secondary prevention of dyslipidaemia according to the individual risk profile in general practice.
Methods.
In a retrospective case analysis 20 GPs analysed a total of 1000 charts of consecutive unselected patients aged 35 - 80 together with a member of the study organisation. Patients were stratified according their individual cardiovascular risk profile including age, cardiovascular events in family history, smoking, hypertension, obesity, lack of physical activity, triglycerides, diabetes mellitus and known arteriosclerosis (CVD). It was analysed, whether plasma cholesterol levels were determined and dyslipidaemia was treated according to the risk profile.
Results.
While most risk factors of their patients are frequently known to GPs they often have less information about cardiovascular events in family history (40%), triglycerides (25%) and lack of physical activity (15%). Whereas screening and treatment of dyslipidaemia in patients with mid cardiovascular risk situation is done consistently according to guidelines, low and high risk patients often fail to be screened and treated according to the actual recommendations.
Conclusions.
Some efforts should be done teaching GPs to record all cardiovascular risk factors, especially cardiovascular events in family history, triglycerides and lack of physical activity. Continuing education should focus on primary prevention in a low risk population and treatment of dyslipidaemia in high risk patients especially those with diabetes mellitus and CVD.
Literature: 
CF1.5 GLOBAL CARDIOVASCULAR RISK PROFILE AND MANAGEMENT OF DYSLIPIDAEMIA IN GENERAL PRACTICE