Do cardiovascular health screening programs and focused counseling have impact on patient habits and lifestyle change? Early results of the heart smart screening program

Document Type

Conference Proceeding

Publication Date


Publication Title

J Am Coll Cardiol


Background: Whether community-based cardiac screening programs have impact on risk modification and behavioral changes is unclear. The Heart Smart Screening Program (HSSP) was evaluated among 3 different patient populations separated based on their 10-year ASCVD calculated risk. The HSSP involves detailed survey of patient lifestyle, diet, exercise habits and cardiac risk factors assessment: fasting glucose, lipids, body mass index, heart rate and blood pressure, resting electrocardiogram and carotid intima media thickness (CIMT). Immediate results review and counseling are provided by a wellness specialist nurse along with a consult and written recommendations provided by a cardiologist. Methods: 93 HSSP participants participated in a follow-up phone survey using a dedicated questionnaire after at least 6 months from the date of program participation. Patients were surveyed regarding benefits of the program and lifestyle changes made as a result of the program: smoking habits, diet and weight loss. In addition, patients were surveyed about new cardiac medications and additional tests or procedures performed. 91 of the patients were stratified into 1 of 3 groups based on their 10-year ACC AHD ASCVD risk: <5%, 5-7.5%, >7.5%. Three-group comparison was completed using Kruskal-Wallis tests for continuous variables and chi-square for categorical variables. Results: Seventy-six (82%) patients reported that the HSSP had a positive impact on their life. Sixty-four (69%) patients incorporated a healthier diet as result of the program. Thirty-four (37%) patients reported weight loss of an average of ten pounds. Sixty-two (67%) patients followed up with their primary doctor to discuss changes. Fourteen (15%) patients underwent cardiac stress testing after HSSP. No statistical difference existed among the three groups based on their 10-year ASCVD risk in regards to the variable analyzed above. Conclusions: The majority of HSSP participants had a positive impact based on survey analysis regardless of baseline ASCVD risk. A comprehensive program with immediate counseling has benefit in impacting positive lifestyle and behavioral changes and promoting cardiovascular health.





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