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Published on: April 19, 2019

Pharmacist-led cardiac risk reduction model

Tracey H Taveira1, Wen-Chih Wu, Oanh J Martin

  • 1University of Rhode Island, College of Pharmacy, Kingston, RI, USA. ttaveira@uri.edu

Preventive Cardiology
|November 7, 2006
PubMed

Insights

The Cardiovascular Risk Reduction Clinic (CRRC) effectively lowers cardiovascular risk scores in veterans with diabetes or coronary artery disease. This pharmacist-led program improved key risk factors, reducing overall cardiovascular event risk.

Area of Science:

  • Cardiology
  • Pharmacology
  • Public Health

Background:

  • Cardiovascular disease remains a leading cause of mortality.
  • Managing multiple modifiable risk factors is crucial for prevention.
  • Pharmacist-coordinated care models offer a structured approach to risk reduction.

Purpose of the Study:

  • To evaluate the effectiveness of the Cardiovascular Risk Reduction Clinic (CRRC) model.
  • To assess changes in cardiovascular risk using the Framingham point score.
  • To identify improvements in guideline adherence for major modifiable risk factors.

Main Methods:

  • Retrospective analysis of 375 veterans' data from 2001-2002.
  • Inclusion of patients with diabetes and/or coronary artery disease referred to CRRC.
  • Comparison of Framingham point scores before and after CRRC intervention.

Main Results:

  • Overall Framingham point score decreased from 14.5 to 13.6.
  • Significant improvements observed in patients not at target goals at baseline.
  • Enhanced guideline adherence for LDL cholesterol, systolic blood pressure, HbA1c, and smoking cessation.

Conclusions:

  • The CRRC pharmacist-coordinated care model effectively reduces cardiovascular risk.
  • The model demonstrates success in managing multiple risk factors in high-risk veteran populations.
  • CRRC intervention leads to measurable improvements in cardiovascular health outcomes.

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