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A coronary screening programme in general practice.

J S Brown

    The Journal of the Royal College of General Practitioners
    |December 1, 1978
    PubMed
    Summary
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    A coronary screening program for men aged 37-43 identified significant cardiovascular risk factors in over half of participants. The study suggests general practices can effectively implement such screenings to influence patient health behaviors, like smoking cessation.

    Area of Science:

    • Cardiology
    • Preventive Medicine
    • Public Health

    Background:

    • Coronary heart disease remains a leading cause of mortality.
    • Early detection of risk factors is crucial for effective intervention.
    • General practice settings offer a viable platform for population-based screening.

    Purpose of the Study:

    • To assess the prevalence of avoidable risk factors for coronary heart disease in a specific male demographic.
    • To evaluate the feasibility and yield of a general practice-based coronary screening program.
    • To explore the potential for influencing patient smoking habits through screening interventions.

    Main Methods:

    • A cohort of 37-43-year-old males was recruited from an age-sex register.
    • Screening included medical history, physical examination, electrocardiogram, chest X-ray, and blood tests (lipids, glucose, urea).

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  • Smoking habits and previous health records were documented; follow-up assessed changes in smoking behavior.

    • Main Results:

    • 64% of invited patients participated; 52% exhibited avoidable risk factors.
    • Significant proportions lacked prior blood pressure (40%), urine (58%), or chest X-ray (71%) records.
    • 20% had atypical electrocardiograms, 20% elevated plasma lipids, and 44% smoked >10 cigarettes daily.

    Conclusions:

    • General practice coronary screening can identify numerous cardiovascular risk factors in middle-aged men.
    • A substantial number of participants had unrecorded health metrics, highlighting screening utility.
    • Interventions during screening can positively influence patient smoking habits.