Lawlor Debbie A, Whincup Peter, Emberson Jonathan R, Rees Karen, Walker Mary, Ebrahim Shah
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR.
Fam Pract. 2004 Oct;21(5):582-6. doi: 10.1093/fampra/cmh516.
Secondary prevention of coronary heart disease (CHD) among older individuals is associated with considerable benefit.
In this study, we have examined the extent of secondary prevention among British women and men aged 60-79 years who were surveyed and examined between 1998 and 2001.
Among 483 women (12.1% of the whole sample) and 831 men (19.5%) with CHD, >90% of both sexes had at least one modifiable risk factor, with over two-fifths having high blood pressure and over three-quarters high cholesterol. For total cholesterol and body mass index, mean values in both male and female subjects were above recommended levels, and a large shift in the population distributions would be required for targets to be met. Less than one-quarter of subjects of either sex were on a statin, and whilst the majority of men were taking an antiplatelet medication, only 40% of women were.
Most older women and men in Britain were failing to meet National Service Framework standards for secondary prevention in the period immediately before its implementation. Large shifts in the population distributions of some risk factors would be required in this group to meet these standards.
老年个体冠心病（CHD）的二级预防具有显著益处。
在本研究中，我们调查了1998年至2001年间接受调查和检查的60 - 79岁英国女性和男性的二级预防程度。
在483名患有冠心病的女性（占整个样本的12.1%）和831名男性（占19.5%）中，超过90%的男女至少有一个可改变的风险因素，超过五分之二的人患有高血压，超过四分之三的人胆固醇高。对于总胆固醇和体重指数，男性和女性受试者的平均值均高于推荐水平，要达到目标需要人群分布有很大变化。不到四分之一的男女受试者服用他汀类药物，虽然大多数男性服用抗血小板药物，但只有40%的女性服用。
在英国，大多数老年女性和男性在国家服务框架实施前的这段时间内未能达到二级预防的标准。该群体需要在一些风险因素的人群分布上有很大变化才能达到这些标准。
