Abstract P228: Status and Awareness of Related Risk Factors Among Patients with Coronary Heart Disease: Results from a Survey of Patients and Their Attending Physicians in China

• Published in: Circulation Cardiovascular quality and outcomes Vol. 4; no. suppl_2
• Main Authors: Gong, Yanjun, Hong, Tao, Jiang, Jie, Han, Xiaoning, Yu, Yang, Chu, Songyun, Fan, Fangfang, Huo, Yong
• Format: Journal Article
• Language: English
• Published: 01.11.2011
• ISSN: 1941-7713; 1941-7705
• DOI: 10.1161/circoutcomes.4.suppl_2.AP228

Abstract only Background: CHD is product of multiple risk factors, such as dyslipidemias, hypertension, diabetes, smoking and obesity. Almost all of these risk factors are modifiable , so most of CHD are preventable. Patients’ awareness of these risk factors is very important to motivate preventive strategy. Methods: A representative questionnaire survey was performed during 2007 and 2009 among patients definitely diagnosed as CHD and their attending physicians from cardiology departments in 26 hospitals in China. The survey was divided into two parts. One part contained questions for patients on awareness of their diagnosis of myocardial infarction, hypertension, hyperlipidemia and diabetes mellitus and status of smoking and physical activity. Another part contained questions for attending physicians on the patient's diagnosis of these diseases. Regarding the diagnosis of myocardial infarction, hypertension, hyperlipidemia and diabetes mellitus, we included the case only if both patient and physician answered the questions. Physician's diagnosis were defined as the correct answer. Results: 4373 patients and their attending physicians completed the questionnaire and their answers were included in this survey. Patients were 61.2±11.2 years old, and 3199 patients (73.2%) were male. The percentage of myocardial infarction, hypertension, hyperlipidemia and diabetes mellitus in these patients diagnosed by physicians were 51.2%, 63.4%, 49.7%, and 27.7%. While most of the patients can correctly answer whether they have myocardial infarction (90.7%), hypertension (96.0%), or diabetes (97.3%). Only 81.2% patients can tell whether they have hyperlipidemia correctly, and 68.6% patients who was diagnosed as hyperlipidemia knew they had it. Among all the patients, 23.1% of them were current smokers and 48.7% of them exercised regularly. Conclusions: Many chinese CHD patients complicated with hypertension, hyperlipidemia and diabetes. The level of patients’self-identification of CHD related risk factors is unsatisfactory. To improve the quality of care of CHD patients, Chinese medical service provider should pay more attention to patients’ education.