A survey of control of major risk factors following coronary artery bypass graft surgery

Mohd Ramzisham Abdul Rahman, Saveena S. Ghaie, Justo R. Sadaba, Levent Guvendik, Alexander R. Cale, Michael E. Cowen, Steven C. Griffin

Research output: Contribution to journalArticle

Abstract

The aim of this survey was to review the awareness and efficacy amongst patients and general practitioners (GPs) in controlling coronary risk factors following coronary artery bypass graft surgery (CABG). It was a prospective cohort study based on an inclusive registry at our department. 230 patients who underwent CABG between April 1999-July 2000 and who had a history of hypertension and hypercholesterolaemia were selected. Frequency of blood pressure (BP) and cholesterol monitoring, blood glucose control, current smoking status, weight and medications were established via telephone interview of patients. BP and cholesterol levels were confirmed by written questionnaires to GPs. BP and cholesterol were considered to be controlled if they were ≤ 140/85 mmHg and ≤ 5.0 mmol/L respectively Of the 230 patients, 213 were successfully contacted. After surgery, 181 (85%) patients had BP checks at least six-monthly by their GPs, 13 (6.1%) less frequently and 19 (8.9%) not at all. Cholesterol levels were checked at least six-monthly in 128 (60.1%), less frequently in 47 (22.1%) and not at all in 38 (17.8%). Thirteen of the 20 patients who were smoking at the time of surgery continued to smoke. BP and cholesterol readings were obtained for 169 of the 213 patients. Of these, BP was well controlled in 92 (54.4%), uncontrolled in 61 (36.1%) and not checked in 16 (9.5%). Cholesterol was well controlled in 106 (62.7%), uncontrolled in 35 (20.7%) and not checked in 28 (16.6%) patients. Although patients and GPs are generally aware of the importance of controlling coronary disease risk factors, more effort is required if we are to meet the Joint British recommendations on prevention of coronary heart disease.

Original languageEnglish
Pages (from-to)153-154+156
JournalBritish Journal of Cardiology
Volume9
Issue number3
Publication statusPublished - 2002

Fingerprint

Coronary Artery Bypass
Transplants
Cholesterol
Blood Pressure
General Practitioners
Coronary Disease
Smoking
Surveys and Questionnaires
Hypercholesterolemia
Smoke
Registries
Blood Glucose
Reading
Cohort Studies
Joints
Prospective Studies
Interviews
Hypertension
Weights and Measures

Keywords

  • Coronary artery bypass graft
  • Risk factors
  • Secondary prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Abdul Rahman, M. R., Ghaie, S. S., Sadaba, J. R., Guvendik, L., Cale, A. R., Cowen, M. E., & Griffin, S. C. (2002). A survey of control of major risk factors following coronary artery bypass graft surgery. British Journal of Cardiology, 9(3), 153-154+156.

A survey of control of major risk factors following coronary artery bypass graft surgery. / Abdul Rahman, Mohd Ramzisham; Ghaie, Saveena S.; Sadaba, Justo R.; Guvendik, Levent; Cale, Alexander R.; Cowen, Michael E.; Griffin, Steven C.

In: British Journal of Cardiology, Vol. 9, No. 3, 2002, p. 153-154+156.

Research output: Contribution to journalArticle

Abdul Rahman, MR, Ghaie, SS, Sadaba, JR, Guvendik, L, Cale, AR, Cowen, ME & Griffin, SC 2002, 'A survey of control of major risk factors following coronary artery bypass graft surgery', British Journal of Cardiology, vol. 9, no. 3, pp. 153-154+156.
Abdul Rahman, Mohd Ramzisham ; Ghaie, Saveena S. ; Sadaba, Justo R. ; Guvendik, Levent ; Cale, Alexander R. ; Cowen, Michael E. ; Griffin, Steven C. / A survey of control of major risk factors following coronary artery bypass graft surgery. In: British Journal of Cardiology. 2002 ; Vol. 9, No. 3. pp. 153-154+156.
@article{6ab9bf69c0404030a326c8eea0772ff9,
title = "A survey of control of major risk factors following coronary artery bypass graft surgery",
abstract = "The aim of this survey was to review the awareness and efficacy amongst patients and general practitioners (GPs) in controlling coronary risk factors following coronary artery bypass graft surgery (CABG). It was a prospective cohort study based on an inclusive registry at our department. 230 patients who underwent CABG between April 1999-July 2000 and who had a history of hypertension and hypercholesterolaemia were selected. Frequency of blood pressure (BP) and cholesterol monitoring, blood glucose control, current smoking status, weight and medications were established via telephone interview of patients. BP and cholesterol levels were confirmed by written questionnaires to GPs. BP and cholesterol were considered to be controlled if they were ≤ 140/85 mmHg and ≤ 5.0 mmol/L respectively Of the 230 patients, 213 were successfully contacted. After surgery, 181 (85{\%}) patients had BP checks at least six-monthly by their GPs, 13 (6.1{\%}) less frequently and 19 (8.9{\%}) not at all. Cholesterol levels were checked at least six-monthly in 128 (60.1{\%}), less frequently in 47 (22.1{\%}) and not at all in 38 (17.8{\%}). Thirteen of the 20 patients who were smoking at the time of surgery continued to smoke. BP and cholesterol readings were obtained for 169 of the 213 patients. Of these, BP was well controlled in 92 (54.4{\%}), uncontrolled in 61 (36.1{\%}) and not checked in 16 (9.5{\%}). Cholesterol was well controlled in 106 (62.7{\%}), uncontrolled in 35 (20.7{\%}) and not checked in 28 (16.6{\%}) patients. Although patients and GPs are generally aware of the importance of controlling coronary disease risk factors, more effort is required if we are to meet the Joint British recommendations on prevention of coronary heart disease.",
keywords = "Coronary artery bypass graft, Risk factors, Secondary prevention",
author = "{Abdul Rahman}, {Mohd Ramzisham} and Ghaie, {Saveena S.} and Sadaba, {Justo R.} and Levent Guvendik and Cale, {Alexander R.} and Cowen, {Michael E.} and Griffin, {Steven C.}",
year = "2002",
language = "English",
volume = "9",
pages = "153--154+156",
journal = "British Journal of Cardiology",
issn = "0969-6113",
publisher = "MediNews (Cardiology) Ltd",
number = "3",

}

TY - JOUR

T1 - A survey of control of major risk factors following coronary artery bypass graft surgery

AU - Abdul Rahman, Mohd Ramzisham

AU - Ghaie, Saveena S.

AU - Sadaba, Justo R.

AU - Guvendik, Levent

AU - Cale, Alexander R.

AU - Cowen, Michael E.

AU - Griffin, Steven C.

PY - 2002

Y1 - 2002

N2 - The aim of this survey was to review the awareness and efficacy amongst patients and general practitioners (GPs) in controlling coronary risk factors following coronary artery bypass graft surgery (CABG). It was a prospective cohort study based on an inclusive registry at our department. 230 patients who underwent CABG between April 1999-July 2000 and who had a history of hypertension and hypercholesterolaemia were selected. Frequency of blood pressure (BP) and cholesterol monitoring, blood glucose control, current smoking status, weight and medications were established via telephone interview of patients. BP and cholesterol levels were confirmed by written questionnaires to GPs. BP and cholesterol were considered to be controlled if they were ≤ 140/85 mmHg and ≤ 5.0 mmol/L respectively Of the 230 patients, 213 were successfully contacted. After surgery, 181 (85%) patients had BP checks at least six-monthly by their GPs, 13 (6.1%) less frequently and 19 (8.9%) not at all. Cholesterol levels were checked at least six-monthly in 128 (60.1%), less frequently in 47 (22.1%) and not at all in 38 (17.8%). Thirteen of the 20 patients who were smoking at the time of surgery continued to smoke. BP and cholesterol readings were obtained for 169 of the 213 patients. Of these, BP was well controlled in 92 (54.4%), uncontrolled in 61 (36.1%) and not checked in 16 (9.5%). Cholesterol was well controlled in 106 (62.7%), uncontrolled in 35 (20.7%) and not checked in 28 (16.6%) patients. Although patients and GPs are generally aware of the importance of controlling coronary disease risk factors, more effort is required if we are to meet the Joint British recommendations on prevention of coronary heart disease.

AB - The aim of this survey was to review the awareness and efficacy amongst patients and general practitioners (GPs) in controlling coronary risk factors following coronary artery bypass graft surgery (CABG). It was a prospective cohort study based on an inclusive registry at our department. 230 patients who underwent CABG between April 1999-July 2000 and who had a history of hypertension and hypercholesterolaemia were selected. Frequency of blood pressure (BP) and cholesterol monitoring, blood glucose control, current smoking status, weight and medications were established via telephone interview of patients. BP and cholesterol levels were confirmed by written questionnaires to GPs. BP and cholesterol were considered to be controlled if they were ≤ 140/85 mmHg and ≤ 5.0 mmol/L respectively Of the 230 patients, 213 were successfully contacted. After surgery, 181 (85%) patients had BP checks at least six-monthly by their GPs, 13 (6.1%) less frequently and 19 (8.9%) not at all. Cholesterol levels were checked at least six-monthly in 128 (60.1%), less frequently in 47 (22.1%) and not at all in 38 (17.8%). Thirteen of the 20 patients who were smoking at the time of surgery continued to smoke. BP and cholesterol readings were obtained for 169 of the 213 patients. Of these, BP was well controlled in 92 (54.4%), uncontrolled in 61 (36.1%) and not checked in 16 (9.5%). Cholesterol was well controlled in 106 (62.7%), uncontrolled in 35 (20.7%) and not checked in 28 (16.6%) patients. Although patients and GPs are generally aware of the importance of controlling coronary disease risk factors, more effort is required if we are to meet the Joint British recommendations on prevention of coronary heart disease.

KW - Coronary artery bypass graft

KW - Risk factors

KW - Secondary prevention

UR - http://www.scopus.com/inward/record.url?scp=0036195820&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036195820&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0036195820

VL - 9

SP - 153-154+156

JO - British Journal of Cardiology

JF - British Journal of Cardiology

SN - 0969-6113

IS - 3

ER -