Does present use of cardiovascular medication reflect elevated cardiovascular risk scores estimated ten years ago? A population based longitudinal observational study
2011

Cardiovascular Medication Use and Risk Scores

Sample size: 20252 publication Evidence: moderate

Author Information

Author(s): Brekke Mette, Straand Jørund

Primary Institution: University of Oslo

Hypothesis

Does present use of cardiovascular medication reflect elevated cardiovascular risk scores estimated ten years ago?

Conclusion

Prescription of cardiovascular medication to middle-aged individuals largely occurs independently of their estimated total cardiovascular risk, especially in women.

Supporting Evidence

  • 26% of men and 22% of women aged 51-58 years had started to use some cardiovascular medication during the previous decade.
  • 60-65% of men and 25-45% of women with high-risk scores received no treatment.
  • Among women using cardiovascular medication, only 2.2% had risk scores above high-risk values.

Takeaway

The study found that many people who started taking heart medication didn't have high enough risk scores to need it, especially women.

Methodology

A longitudinal observational study using data from The Hordaland Health Study and the Norwegian Prescription Database.

Potential Biases

Non-participants were less educated and had lower income, which may affect the generalizability of the results.

Limitations

The study design was observational and not a controlled cohort, and there may be differences between participants and non-participants.

Participant Demographics

Participants were men and women born between 1950 and 1957, living in Hordaland County, Norway.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI for difference

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2458-11-144

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication