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Absolute risk assessment for guiding cardiovascular risk management in a chest pain clinic


Black, JA and Sharman, JE and Marwick, TH, Absolute risk assessment for guiding cardiovascular risk management in a chest pain clinic, Medical Journal of Australia pp. 486. ISSN 0025-729X (2021) [Letter or Note in Journal]

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DOI: doi:10.5694/mja2.51321


In reply: We thank Blazak and Greaves1 for their comments on our article.2 In their letter, the authors noted the possible influence of bias from between-group differences in the baseline-reported use of anti-hypertensive and lipid-lowering therapy. We want to highlight that we accounted for these covariables in the ANOVA models for the primary analysis. Nonetheless, we have undertaken further analysis, and this also confirms that the results are consistent regardless of whether anti-hypertensive or lipid-lowering therapy was reported at baseline (Box). We propose that the mechanism for the modest improvement in blood pressure and cholesterol in the intervention arm is the adoption of lifestyle changes, supported by the noted improvement in body mass index and quality of life scores for this group. It is possible that adherence to prescribed medication may have differed between the groups at follow-up, and this remains an important focus of the approach provided by the rapid access chest pain clinic.

Item Details

Item Type:Letter or Note in Journal
Keywords:cardiovascular risk, primary prevention
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health systems
Objective Division:Health
Objective Group:Clinical health
Objective Field:Prevention of human diseases and conditions
UTAS Author:Black, JA (Dr Andrew Black)
UTAS Author:Sharman, JE (Professor James Sharman)
UTAS Author:Marwick, TH (Professor Tom Marwick)
ID Code:147542
Year Published:2021
Web of Science® Times Cited:4
Deposited By:Medicine
Deposited On:2021-11-08
Last Modified:2021-11-15

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