This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Mcgowan, N. Articles by Mcknight, J. A Search for Related Content Social Bookmarking                         What's this?

Initial and sustained cardiovascular risk reduction in a pharmacist-led diabetes cardiovascular risk clinic

Metabolic Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland

Alison Cockburn

Metabolic Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland

Mark Wj Strachan

Metabolic Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland

Paul L Padfield

Metabolic Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland

John A Mcknight

Metabolic Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland, John.McKnight{at}luht.scot.nhs.uk

Background

The atherogenic milieu of hypertension, hyperglycaemia and dyslipidaemia results in an excess of cardiovascular deaths in the diabetic population.

Objective

To determine the efficacy and long-term success of a pharmacist-delivered cardiovascular risk reduction clinic.

Methods

Patients with diabetes not achieving blood pressure (BP) and lipid targets at a standard diabetes clinic had a mean of four visits to the pharmacist-delivered clinic.

Results

BP was significantly reduced by attending the clinic (mean reduction in clinic BP 23/10 mmHg). Ambulatory BP monitoring demonstrated a mean reduction of 13/9 mmHg from clinic entry to discharge and this effect was sustained six months post-discharge .

Total cholesterol was reduced by 0.4 mmol/L (p=0.002) during clinic attendances and remained unchanged post discharge.

Conclusion

Patients previously thought to be `resistant' to treatment can have significant reductions in cardiovascular risk factors when enrolled in a short-lived, intense clinic set-up. This is maintained

Key Words: cardiovascular risk • diabetes • hypertension

The British Journal of Diabetes & Vascular Disease, Vol. 8, No. 1, 34-38 (2008)
DOI: 10.1177/14746514080080010801


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?