Cheng Eric, Chen Alex, Vassar Stefanie, Lee Martin, Cohen Stanley N, Vickrey Barbara
Department of Neurology, VA Greater Los Angeles Healthcare System, 90073, USA.
Cerebrovasc Dis. 2006;21(4):235-41. doi: 10.1159/000091220. Epub 2006 Jan 27.
Whether secondary prevention of atherosclerosis is performed as frequently after cerebrovascular events (stroke or transient ischemic attack) as after cardiac events (myocardial infarction or angina) is unknown.
We compared the receipt of six secondary preventive care processes among 943 persons with a prior cardiac event to that among 523 persons with a prior cerebrovascular event using a representative sample of the US population.
The cardiac event group had higher rates for three care processes: antithrombotic medication use in the past year (83-77%, p = 0.01), ever advised to exercise more (66-52%, p < 0.001), and ever advised to eat fewer high-fat or high-cholesterol foods (70-54%, p < 0.001).
Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.
动脉粥样硬化的二级预防在脑血管事件（中风或短暂性脑缺血发作）后与心脏事件（心肌梗死或心绞痛）后实施的频率是否相同尚不清楚。
我们使用美国人群的代表性样本，比较了943例既往有心脏事件的患者与523例既往有脑血管事件的患者接受六种二级预防护理措施的情况。
心脏事件组在三种护理措施方面的比例更高：过去一年使用抗血栓药物（83%对77%，p = 0.01）、曾被建议增加运动量（66%对52%，p < 0.001）以及曾被建议减少高脂肪或高胆固醇食物的摄入量（70%对54%，p < 0.001）。
与心脏事件组相比，脑血管事件组的护理质量较低，应予以改善。
