Author + information
- Paul Nona,
- Aayush Mittal,
- Karthik Pattiala,
- Kristen Brooks,
- Maria Tyler Moore and
- Karthikeyan Ananthasubramaniam
Background: Whether community-based cardiac screening programs have impact on risk modification and behavioral changes is unclear. The Heart Smart Screening Program (HSSP) was evaluated among 3 different patient populations separated based on their 10-year ASCVD calculated risk. The HSSP involves detailed survey of patient lifestyle, diet, exercise habits and cardiac risk factors assessment: fasting glucose, lipids, body mass index, heart rate and blood pressure, resting electrocardiogram and carotid intima media thickness (CIMT). Immediate results review and counseling are provided by a wellness specialist nurse along with a consult and written recommendations provided by a cardiologist.
Methods: 93 HSSP participants participated in a follow-up phone survey using a dedicated questionnaire after at least 6 months from the date of program participation. Patients were surveyed regarding benefits of the program and lifestyle changes made as a result of the program: smoking habits, diet and weight loss. In addition, patients were surveyed about new cardiac medications and additional tests or procedures performed. 91 of the patients were stratified into 1 of 3 groups based on their 10-year ACC AHD ASCVD risk: <5%, 5-7.5%, >7.5%. Three-group comparison was completed using Kruskal-Wallis tests for continuous variables and chi-square for categorical variables.
Results: Seventy-six (82%) patients reported that the HSSP had a positive impact on their life. Sixty-four (69%) patients incorporated a healthier diet as result of the program. Thirty-four (37%) patients reported weight loss of an average of ten pounds. Sixty-two (67%) patients followed up with their primary doctor to discuss changes. Fourteen (15%) patients underwent cardiac stress testing after HSSP. No statistical difference existed among the three groups based on their 10-year ASCVD risk in regards to the variable analyzed above.
Conclusions: The majority of HSSP participants had a positive impact based on survey analysis regardless of baseline ASCVD risk. A comprehensive program with immediate counseling has benefit in impacting positive lifestyle and behavioral changes and promoting cardiovascular health.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Innovations in Cardiovascular Risk Assessment and Reduction
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1235-048
- 2017 American College of Cardiology Foundation