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AHDC
Ashkelon Hypertension Detection and Control program
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Author(s) |
Yosefy C, Dicker D, Viskoper JR, Tulchinsky TH, Ginsberg GM, Leibovitz E, Gavish D |
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Title(s) |
The Ashkelon Hypertension Detection and Control Program (AHDC Program): a community approach to reducing cardiovascular mortality |
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Reference(s) |
Prev Med 2003;37:571–6 |
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Disease |
Hypertension |
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Purpose |
To assess whether a cardiovascular risk screening and prevention programme reduces cardiovascular morbidity and mortality |
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Study design |
Open |
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Follow-up |
Mean 6.4 years |
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Patients |
12,202 individuals (6833 men, 5369 women), living in Ashkelon, mean age 51 ± 7 years |
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Treatment regimen |
Counselling on diet, exercise, and smoking cessation to individuals with at least one cardiovascular risk factor. Antihypertensive drugs at the discretion of the physician |
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Results |
28.6% of individuals were found to have at least one cardiovascular risk factor (hypertension, obesity, smoking, hypercholesterolaemia). Among the patients who underwent interventions, reductions in BP and body mass index were significant over 24 months. The standardised mortality ratio decreased from 1983–1986 to 1987–1994 for AMI (100 to 76; p < 0.0001), cardiovascular disease (129 to 107; p < 0.01), and hypertension (121 to 87; p < 0.1) |
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