Primary Prevention of Cardiovascular Disease
Conditions
Keywords
primary prevention, cardiovascular risk, hyperlipidaemia, adherence
Brief summary
A systematic collection of retrospective and prospective data based on non-intervention patient observation, aimed to assess the risks, course and outcomes of a disease or a group of diseases: * the retrospective part: database of patients with cardiovascular risks; * the prospective part: observation of patients in the real medical practice
Detailed description
The research program will have two parts: Stage1: identification of patients with moderate, high and very high cardiovascular risks, not having diseases of atherosclerotic genesis and requiring lipid-lowering drugs. Stage 2: a prospective observation of patients receiving primary medical prophylaxis of CVD with atorvastatin
Interventions
BEHAVIORALextended counseling
Patients are handed out information leaflets on the correction of risk factors, SMS reminders, extended statins counseling.
Sponsors
The League of Clinical Research, Russia
National Research Center for Preventive Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Men and women 40-65 years old with the presence of: * moderate cardiovascular risk (\<5% but ≥1% on a SCORE scale) and cholesterol level LDL ≥3.0 mmol / l, in which the target is not reached during the improvement of lifestyle level of cholesterol-LDL, and the attending physician considers appropriate the appointment lipid-lowering drugs (statins), or * high cardiovascular risk (≥5% but \<10% on a SCORE scale) and cholesterol level LDL ≥ 2.5 mmol / l, or * very high cardiovascular risk (≥10% on the SCORE scale) and cholesterol-LDL ≥1.8mmol / l, or * atherosclerotic stenosis of the brachiocephalic arteries\> 50% in the absence cerebrovascular diseases and the level of cholesterol-LDL ≥1.8 mmol / l, which do not have contraindications to taking statins and not taking drugs of this group in currently.
Exclusion criteria
* The presence of the following clinically significant events in anamnesis: myocardial infarction, stroke, myocardial infarction * The presence of the following diseases at the time of statin administration: ischemic heart disease; heart failure; atherosclerotic disease of peripheral arteries; atherosclerotic stenosis of the brachiocephalic arteries in the presence of cerebrovascular disease; chronic renal failure with creatinine clearance \<30 ml / min; liver disease with an increase in AST and ALT levels of more than 3 times, compared to the upper limit of normal; history of muscular or neuromuscular diseases, with elevated CPK; alcoholism, oncological, mental and other severe concomitant diseases; intolerance to statins in anamnesis; use of other lipid-modifying agents.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the percentage of patients who achieved target LDL cholesterol level depending on the level of cardiovascular risk from baseline and 12 months | 12 months | The primary objective of this study is to assess the influence of routing and extended statin counseling of patients with cardiovascular risk factors on the change in the percentage of patients who achieved target LDL cholesterol level from baseline through 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assess the effect of routing and extended statin counseling on changes in treatment adherence | Baseline and Month 12 | The method used to measure adherence included the Morisky Medication Adherence Scale (MMAS - 4). Morisky Medication Adherence Scale is 4- item self-reported scale measuring medication taking behavior. Scores are transformed to a range of 0-4, in which higher scores reflect better adherence |
| Change from baseline in lipid levels (mmol/l) | Baseline, Month 3, Month 6 and Month 12 | To evaluate the impact of extended statin counseling on change of CVD risk factors (lipid levels) in patients with moderate, high and very high risk. Measurement of lipid levels at baseline and after 3,6,12 months |
| Change from baseline in blood pressure (mm Hg) | Baseline, Month 3, Month 6 and Month 12 | To evaluate the impact of standard and extended counseling on change of CVD risk factors (blood pressure). Measurement of blood pressure (mm Hg) at baseline and after 3,6,12 months |
| Impact of standard and extended counseling on statin therapy adherence | Baseline and Month 12 | The method used to measure adherence was KAP test. KAP test is the specially designed questionnaire for this study includes 14 questions, in patients with hyperlipidemia. KAP test summary score is an assessment of patients' knowledge about high cholesterol, their attitude to this problem and the application of this knowledge. Higher scores reflect better indicators of knowledge, attitudes and practices |
Countries
Russia
Outcome results
None listed