The issue really is how best to support patients in this situation. It seems
to me that the clinical issue is that once such an event occurs the patient
is at higher risk than the general population. We certainly know at a
clinical level that adherence to therapy and maintaining lifestyle change
is difficult. To stratify risk in such patients might well be
counterproductive for a proportion of them- we need more qualitative work to
be done in association with the myriad risk scores that have been produced
by so many groups.
Dr Davida De La Harpe
Public Health Physician
Health Services Executive, Eastern Region
Department of Public Health
The Mezzanine Floor
Stewarts Hospital
Waterstown Avenue
Palmerstown
Dublin 20
-----Original Message-----
From: Evidence based health (EBH)
[mailto:[log in to unmask]]On Behalf Of badri
badrinath
Sent: 07 March 2005 14:05
To: [log in to unmask]
Subject: Re: CHD Risk Assessment
Dear Jon,
Greetings from historic Bury St Edmunds in the heart of Suffolk county in
the east of England.
You might find the TIMI risk score of some interst (restricted to unstable
angina & non ST elevation MI)
JAMA abstract @ http://jama.ama-assn.org/cgi/content/abstract/284/7/835
Scores for Post–Myocardial Infarction Risk Stratification in the Community
http://circ.ahajournals.org/cgi/content/abstract/106/18/2309
Warm regards & very best wishes,
Badri
Dr.P.Badrinath MD PhD MFPH
Acting Consultant in Public Health & Recognised Clinical Teacher,
Suffolk West PCT & University of Cambridge,
Thingoe House, Cotton Lane, Bury St Edmunds, Suffolk, IP33 1YJ.
http://myprofile.cos.com/badrishanthi
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