Author + information
- Sahar Abdelmoneim,
- Sue J. Eifert Rain,
- Victoria Zysek,
- Juan P. Rodriguez-Escudero,
- Mathieu Bernier,
- Gajanan Bhat,
- Pamela Hsu,
- Mary Hagen,
- Dalene Bott-Kitslaar,
- Sharonne Hayes and
- Sharon Mulvagh
We evaluated the impact of stress echocardiography (SE) testing results on cardiovascular (CV) risk behaviors in post-menopausal women presenting with chest pain symptoms.
From 2004 −2007, 203 post-menopausal women (age 61±5 yrs; Framingham risk 6±4%) referred for SE (81% treadmill, 19% dobutamine) were prospectively enrolled in a multisite study. Women's Heart Clinic Risk Assessment Questionnaire (WHCRAQ) was administered at time of SE and 2 yrs. WHCRAQ assessed medical history, hormone therapy (HT), and CV risk behaviors (smoking, exercise, dietary fat, alcohol intake). Abnormal SE was defined as new or worsening stress wall motion abnormality. Post SE changes in CV risk behaviors were determined by comparing baseline vs 2yr data.
Of 203 women, 29 were excluded to avoid confounding effect [coronary angiography was performed during followup]. Of 174 women [55% hypertensive,10% diabetic, 76% hyperlipidemic, and 25% on HT]. SE was abnormal in 10 %. Baseline characteristics were not significantly different in normal vs. abnormal SE, apart from diabetes [8% vs 24%, P=0.04]. Cardiac lifestyle factors including smoking, alcohol drinks/week and higher fat diet were different in normal vs abnormal SE [8% vs. 23%, P=0.009; 2.5± 3.5 vs 1.9 ± 5, P=0.03; and 92% vs 76%, P=0.03, respectively]. More women with normal SE were on HT. A significant CV risk behaviors change post SE was Smoking, Table.
Smoking cessation is positively impacted by SE testing in post-menopausal women.
|Variables||Abnormal CSE (N=17)||Normal CSE (N=157)||P values between lifestyle outcomes at 2 yrs (abnormal vs normal SE)|
|Mean cigarettes/day||Baseline||2 years followup||Baseline||2 years followup|
|Mean EtOH drinks/week||1.94±5.2||1.2±2.9||2.5±3.5||2.9±4.2||0.051|
|High fat diet (n)||13||14||145||149||0.031|
|Hormone Therapy (n)||2||1||42||31||0.109|
Poster Sessions, Expo North
Monday, March 11, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Imaging: Echo XV
Abstract Category: 18. Imaging: Echo
Presentation Number: 1313-342
- 2013 American College of Cardiology Foundation