Journal article

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

James A Black, James E Sharman, Thomas H Marwick



OBJECTIVES: To assess the efficacy of a pro-active, absolute cardiovascular risk-guided approach to opportunistically modifying cardiovascular risk factors in patients without coronary ischaemia attending a chest pain clinic. DESIGN: Prospective, randomised, open label, blinded endpoint study. SETTING: The rapid access chest pain clinic of Royal Hobart Hospital, a tertiary hospital. PARTICIPANTS: Patients who presented to the chest pain clinic between 1 July 2014 and 31 December 2017 who had intermediate to high absolute cardiovascular risk scores (5-year risk ≥ 8%). Patients with known cardiac disease or from groups with clinically determined high risk of cardiovascular disease were exclude..

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Funding Acknowledgements

We gratefully acknowledge grants from the Tasmanian Community Fund, the virtual Tasmanian Academic Health Sciences Precinct, and the Royal Hobart Hospital Research Foundation. We thank the staff and patients of the Royal Hobart Hospital who used or worked in the Rapid Access Chest Pain Clinic, as well as the National Heart Foundation for their support. We particularly appreciate the assistance of Bec Lane, Liam Kelleher, Roslyn Giles, Cathy MacIntosh, Vicki O'May, Teresa Grabek, Therese Hudson and Amanda Conroy (cardiology department, Royal Hobart Hospital) and Stephanie Pitney (smoking cessation clinic, Royal Hobart Hospital) with patient follow-up.