Trial Search Results
Improving Coronary Prevention in a County Health System
To examine whether the Stanford Health Education and Risk Reduction Training (HEAR2T) program , a case management approach, can be effectively used to manage the risk of coronary artery disease.
Stanford is currently not accepting patients for this trial.
Collaborator: National Heart, Lung, and Blood Institute (NHLBI)
- Behavioral: risk reduction
Abbreviations: FBS = fasting blood sugar, SBP = systolic blood pressure, DBP = diastolic
blood pressure, LDL = low-density lipoprotein, HDL = high-density lipoprotein, BMI = body
mass index, TC = total cholesterol, TG = triglycerides, HbA1c = hemoglobin A1c.
- The patient has CAD or CAD risk equivalent (abdominal aortic aneurysm, peripheral
vascular disease, transient ischemic attack, stroke, diabetes, or FBS ≥ 126 mg/dL × 2)
and has at least one of following: SBP ≥ 130 mmHg, DBP ≥ 80 mmHg, LDL ≥ 100 mg/dL, HDL
≤ 40 mg/dL, TG ≥ 150 mg/dL, FBS ≥ 126 mg/dL, BMI ≥ 30, or is a current smoker.
- The patient does not have CAD or CAD risk equivalent but has at least one of the
following: SBP ≥ 160 mmHg, DBP ≥ 100 mmHg, LDL ≥ 190 mg/dL, TC ≥ 240 mg/dL, TG ≥ 500
mg/dL, HbA1c ≥ 8.0%, BMI ≥ 35, or is a current smoker.
- The patient does not have CAD or CAD risk equivalent but has at least two of the
following: a) SBP ≥ 140 mmHg or DBP ≤ 90 mmHg, b) HDL ≤ 40 mm/dL or TG ≥ 200 mg/dL, c)
LDL ≥ 160 mg/dL or TC ≥ 240 mg/dL, d) FBS ≥ 110 mg/dL × 2, or e) male age ≥ 45 or
female age ≥ 55 or with positive family history of CAD.
- Resident of long-term facility
- Lack of spoken English or Spanish by patient or household member 18 years or older who
can serve as an interpreter
- Moving before end of intervention (30 months)
- Age between 35 and 85 (inclusive)
- Significant comorbidities such as: uncontrolled metabolic disorders (renal failure,
liver failure, etc.), active symptoms suggesting acute myocardial infarction or
decompensated congestive heart failure, Malignancy or other condition limiting life
expectancy, psychiatric disorder with active manifestations.
- Substance abuse.
- No telephone or means of contacting patient.
- Family household member already enrolled.
- Homeless and not living with relatives/friends.
- Anticipated absence for more than 4 consecutive months.
- Difficulty coming to appointments approximately every 1-2 months
- Already participating in the Diabetes program
- Currently pregnant or intends to get pregnant the next 3 years.
Ages Eligible for Study
35 Years - 85 Years
Genders Eligible for Study