Active screening of patients with type 2 diabetes or chronic obstructive pulmonary disease (COPD) more than doubles new diagnoses of cardiovascular disease compared with usual care, according to late breaking research presented in a Hot Line session today at ESC Congress 2023.
Coronary artery disease, atrial fibrillation and heart failure are chronic progressive conditions affecting millions of people worldwide and leading to significant morbidity, mortality and healthcare costs. Early stages of these diseases usually manifest with nonspecific symptoms in primary care, rather than in hospitals. Treatments are available that may prevent acute events, such as acute myocardial infarction, stroke or acute heart failure.
Between June 2019 and January 2023, 25 primary care practices were randomly allocated to the intervention arm or the control arm.
The trial included 1,216 patients, of whom 87% had type 2 diabetes and 20% had COPD . The average age of participants was 68 years and 40% were women. Regarding the primary outcome, during one year of follow-up, 50 of 624 participants in the intervention group and 19 of 592 participants in the control group were newly diagnosed with at least one of heart failure, atrial fibrillation or coronary artery disease .
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