Secondary prevention of coronary heart disease and gender perspective in two primary healthcare centers

• Published in: Medicina clínica Vol. 127; no. 8; p. 286
• Main Authors: Ribera I Osca, Joan Antoni, Peiró, Salvador
• Format: Journal Article
• Language: Spanish
• Published: Spain 02.09.2006
• Subjects: Aged; Coronary Disease - prevention & control; Female; Humans; Male; Medical Audit; Middle Aged; Myocardial Infarction - rehabilitation; Primary Health Care - statistics & numerical data; Primary Health Care - trends; Retrospective Studies; Sex Factors; Spain; Spain
• ISSN: 0025-7753
• DOI: 10.1016/S0025-7753(06)72233-3

Our goal was to describe the secondary prevention of coronary heart disease activities in two primary healthcare centers and to analyze differences according to gender. Retrospective follow-up study (medical records audit) during one year of 187 patients discharged after one myocardial infarction to identify the use of preventive advice and treatments. Men had more exercise (66.7%), smoking (62.9%) and alcohol advice (20.0%) and less diet advice (62.9%) than women (34.3%, 2.9%, 0.0%, 94.3%, respectively). After one year of follow-up, there were no differences in antiplatelet therapy (99.3%), betablockers (41.4%) and statins (70.7%), yet the use of drugs with action on the renin-angiotensin system showed notable differences (men: 50.5%; women: 5.7%; P < .05). Overall, 66.6% of the men vs. 31.4 of the women received three or more treatments. There were no differences among health centers. Although secondary prevention seems to have improved along time, some problems remain, especially in women.