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Secondary prevention medication use in patients with cardiovascular disease in Northwest China from 2015—2019 |
ZHONG Hui YU Yanwu HE Wei WANG Yunfeng ZHU Zhihong ZHANG Lihua LI Xi LIU Jiamin |
National Clinical Research Center for Cardiovascular Diseases NHC Key Laboratory of Clinical Research for Cardiovascular Medications State Key Laboratory of Cardiovascular Disease Fuwai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College National Center for Cardiovascular Diseases, Beijing 100037, China |
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Abstract Objective To investigate the secondary prevention drug use in patients with cardiovascular disease in the community population in Northwest China, and to explore its correlation with individual characteristics. Methods The participants aged 35-75 years from 43 communities in Northwest China were studied based on the “China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project” from 2015—2019. The self-reported history of ischemic heart disease or ischemic stroke and drug use were collected through questionnaires. Associations between individual characteristics and secondary prevention medication use were analyzed using multivariate mixed-effects models. Results Among 14 212 patients with ischemic heart disease and / or ischemic stroke, 22.6% reported the use of antiplatelet or statin drugs. The results of multivariate analysis showed that older age (55 to 65 and 65 to 75 years old), middle school and above, married, overweight or obese, and those with hypertension were more likely to use antiplatelet or statin drugs (P < 0.05); while women, farmers, rural areas, and smokers were less likely to take antiplatelet or statin drugs (P < 0.05). Conclusion In patients with ischemic heart disease and/or ischemic stroke in Northwest China, the application of antiplatelet drugs and statins is insufficient, and the status also varies across different population characteristics.
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