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Family Practice Vol. 21, No. 3, 304-306
Family Practice Vol. 21, No. 3 © Oxford University Press 2004, all rights reserved.

Secondary prevention of coronary heart disease is disappointing among patients of working age

Markku Sumanen, Markku Koskenvuoa, Pirjo Immonen-Räihäb, Sakari Suominena, Jari Sundella and Kari Mattilac

Kangasala Health Centre, a Department of Public Health, University of Turku, b Raisio District Hospital, Department of Public Health, University of Turku and c Medical School, University of Tampere and Department of General Practice, Hospital District of Pirkanmaa, Finland

Correspondence to Markku Sumanen, Marhamintakuja 6, 36240 Kangasala, Finland; E-mail: markku.sumanen{at}kolumbus.fi

Background. The risk factors underlying coronary heart disease (CHD) are well known.

Objective. The purpose of this study was to evaluate risk factors related to secondary prevention of working-age CHD patients.

Methods. CHD patients with (n = 139) and without (n = 203) myocardial infarction were selected from a postal questionnaire study (n = 21 101) of randomly selected Finns aged 20–54 years (HeSSup study). Four age- and sex-matched controls were chosen for every patient.

Results. CHD patients still smoke, are obese and suffer hangovers more frequently than the control population.

Conclusion. The health care system has not succeeded in the secondary prevention of CHD.

Keywords. Angina pectoris, coronary heart disease, myocardial infarction, risk factors, secondary prevention.


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