Po1089 Screening For Cardiovascular Disease In A Distant Region Of Rural Crete

Conference: 
Author(s): 
Dimitris Anyfantakis1 e Evangelos Athanassakis2
1Primary Care Practice of Sfakopigadi, Kissamos, Chania, Crete, Greece; 2Primary Health Care Centre of Kissamos
Text: 
Aim: Cardiovascular disease (CVD) is one of the most prevalent chronic conditions with adverse outcomes in terms of mortality and health care costs. Although the Cretan population has been characterized of “low cardiovascular risk” the last years this status has changed in the island of Crete. A screening plan was applied in a distant primary care setting of rural Crete in order to identify individuals at increased disease risk
Study population and methods: 101 healthy individuals aged >25 years old were examined. Total cholesterol, high-density lipoprotein levels, blood pressure and body mass index were measured. Haemoglobin A1C levels and smoking habits were also recorded. The Framingham Risk Score (FRS) was calculated in order to estimate the risk of developing cardiovascular event within 10 years.
Results: 8.9 percent (n=9) had increased risk of heart disease (FRS >10 %) while 29.7 percent (n=30) had abnormal A1C levels (>5.7 %). Remarkably, 37.6 percent (n=38) presented with two or more risk factors. Among the most common risk factors were smoking, hypertension and obesity.
Conclusions: The use of a screening approach in distant and isolated rural regions could help in early identification of asymptomatic patients at increased risk of developing CVD. Early detection of these high risk individuals may serve significantly towards more effective preventive interventions by the primary care provider.
Literature: 
PO1089 SCREENING FOR CARDIOVASCULAR DISEASE IN A DISTANT REGION OF RURAL CRETE
Keywords: 
cardiovascular diseases, primary care, early diagnosis