The heterogeneity of the studies limited the analysis , but together they showed that provision of risk information to patients improved the accuracy of risk perception without decreasing quality of life or increasing anxiety , but had little effect on lifestyle .
There seems evidence that providing CVD risk model estimates to professionals and patients improves perceived CVD risk and medical prescribing , with little evidence of harm on psychological well-being
OBJECTIVE To systematic ally review whether the provision of information on cardiovascular disease ( CVD ) risk to healthcare professionals and patients impacts their decision-making , behaviour and ultimately patient health .
[The estimation of cardiovascular risk in hypertensive patients is not modified by management of the hypertension].
OBJECTIVES To compare antihypertensive therapeutic strategies and efficacy whether the physicians were aware or not of the calculated cardiovascular risk at 10 years obtained from the Framingham equation . It was also possible to evaluate the concordance of the general physicians estimation of the cardiovascular risk with the calculated percentage . METHODS The participation of 953 general physicians to the study allowed to achieve an estimation of the absolute cardiovascular risk for 1,243 hypertensives . Patients were r and omised in 2 groups according to the knowledge or not by the physicians of the calculated risk . The therapeutic strategy included a monotherapy ( Fosinopril 20 mg/days ) for a follow up of 8 weeks , with the possibility to increase the treatment after 4 weeks ( Fosinopril + hydrochlorotiazide ) .  To be included , patients had to be more than 18 and less than 75 years , and a blood pressure above 140/90 mmHg . Estimated and calculated cardiovascular risk at 10 years , were classified according to the 1999 WHO-ISH guidelines : low risk < 15 % , medium risk 15 - 20 % , high risk 20 - 30 % , very high risk > 30 % . RESULTS In this population , aged 60 + /- 10 years , with 54 % of men , the concordance between estimated risk and calculated risk was of 35 % . This concordance was better for the " low risk " and " very high risk " , but remains inferior to 50 % . The determinants of concordance were : gender ( male ) , smoking and a low HDL cholesterol . After 8 weeks of treatment , no difference was observed between the 2 groups concerning final blood pressure level , percentage of normalised patients and number of patients with bi-therapy . CONCLUSIONS General physicians estimation of cardiovascular risk at 10 years of hypertensive subjects has a bad concordance with the calculated risk according to Framingham equation . The results of this study indicate that the estimation of cardiovascular risk of hypertensive subjects does not modify the management of hypertension
The heterogeneity of the studies limited the analysis , but together they showed that provision of risk information to patients improved the accuracy of risk perception without decreasing quality of life or increasing anxiety , but had little effect on lifestyle .
There seems evidence that providing CVD risk model estimates to professionals and patients improves perceived CVD risk and medical prescribing , with little evidence of harm on psychological well-being
OBJECTIVE To systematic ally review whether the provision of information on cardiovascular disease ( CVD ) risk to healthcare professionals and patients impacts their decision-making , behaviour and ultimately patient health .