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[Ischemic cardiopathy in primary care. A descriptive study]
M de la Figuera1, J M Bordas, M Mata
1Centro de Asistencia Primaria La Mina, Unidad Docente de Medicina Familiar y Comunitaria de Barcelona, Sant Adriå del Besós.
Insights
Ischemic heart disease (IHD) is prevalent in primary care, with high cardiovascular risk factors. Primary care physicians play a key role in IHD diagnosis and management, especially for older patients.
Area of Science:
- Cardiology
- Primary Care Medicine
- Epidemiology
Context:
- Ischemic heart disease (IHD) poses a significant public health challenge.
- Primary care settings are crucial for managing chronic conditions like IHD.
- Understanding IHD epidemiology within primary care is essential for effective public health strategies.
Purpose:
- To describe the incidence, prevalence, and characteristics of ischemic heart disease (IHD) in a primary care center.
- To identify common presentations and cardiovascular risk factors associated with IHD.
- To evaluate the role of primary care physicians in the diagnosis and management of IHD.
Summary:
- A descriptive study identified 112 patients with IHD, revealing incidence and prevalence rates of 1.9/1000 and 10.9/1000, respectively.
- High rates of cardiovascular risk factors were observed. Myocardial infarction was the most common presentation in males, while angina predominated in females.
- Primary care physicians were involved in diagnosis for 17% of patients and managed the condition exclusively in 29%, particularly those over 65.
Impact:
- Highlights the significant burden of IHD within primary care settings.
- Emphasizes the critical role of primary care physicians in the early diagnosis and ongoing management of IHD.
- Suggests opportunities for enhanced primary care interventions to mitigate cardiovascular risk and improve IHD outcomes.
Abstract:
A descriptive study of ischemic heart disease in a primary care center is reported. From the recording systems 112 patients with IHD (9 of them dead) were identified. The calculated incidence and prevalence rates were 1.9/1000 and 10.9/1000, respectively. There were remarkably high rates of cardiovascular risk factors. The most common forms of presentation were myocardial infarction in males and angina in females. The physicians of the primary care center played a role in the diagnosis in 17% of patients. In addition, the disease was exclusively managed in the primary care center in 29% of patients, most of them over 65 years of age. The role of the primary care physician in the diagnosis and control of this condition is emphasized.