People's perception of their overall coronary risk: an Italian experience.
BACKGROUND
Strategies to prevent cardiovascular diseases are still not widely applied. It is vital to involve people for effective prevention, and knowledge of their own coronary risk is a first step. Little is known about how people perceive their coronary risk. For this reason, we examined this perception in a sample of the general population and compared it with a reference risk chart.


METHODS
We invited the population of two small towns to come for a free check of their blood pressure and blood cholesterol levels. People were first asked to complete a self-administered questionnaire grading their perceived risk of developing a coronary event. Then, basic data were collected for calculating their risk according to a reference chart.


RESULTS
A total of 877 individuals (382 males, 495 females, age 30-80 years) without ischemic heart disease completed the questionnaire and had their blood pressure and cholesterol checked. Many important risk factors are still not taken into account by patients, particularly male sex, older age and diabetes. One out of 4 subjects underestimates his level of coronary risk and 9 out of 10 high-risk subjects are not even aware of it.


CONCLUSIONS
Our study shows that large numbers of persons are still unaware of their level of coronary risk and of its major determinants. Better counseling by general practitioners is needed since a realistic perception of risk is essential for reducing it.
Ferrario
Gabriele
G
Department of Cardiology, Rehabilitation Center EREMO, Arco, TN, Italy. gabrieleferrario@tin.it
Alkhimovitch
Olga
O
Avanzini
Fausto
F
Cirrincione
Carlo
C
Galloni
Gianfranca
G
Marchesi
Stefano
S
Pellegrini
Andrea
A
Roccatagliata
Daria
D
Roncaglioni
Maria Carla
MC
Russo
Tiziano E
TE
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000924:Anticholesteremic Agents / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure / Q000502:physiology; D002784:Cholesterol / Q000097:blood; D003327:Coronary Disease / Q000188:drug therapy / Q000453:epidemiology* / Q000503:physiopathology; D003971:Diastole / Q000502:physiology; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010465:Perception; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013599:Systole / Q000502:physiology
D000924:Anticholesteremic Agents; D000959:Antihypertensive Agents; D015415:Biomarkers; D002784:Cholesterol