{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T22:32:14Z","timestamp":1781476334978,"version":"3.54.1"},"reference-count":23,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2016,8,8]]},"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Early identification and treatment of cardiovascular risk factors (CVRFs) is essential to prevent excess morbidity, mortality and healthcare-related costs. We sought to investigate whether an active screening programme at pharmacies could identify a significant proportion of patients with previously undetected CVRFs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Between April and July 2013, 184 pharmacies in Lower Austria enrolled a total of 6800 participants, in whom body mass index (BMI), blood pressure (BP), total cholesterol and blood glucose were measured. Mean age was 58\u00b117\u2005years and 67.8% were women. 21% of men and 16% of women had a BMI\u226530\u2005kg\/m<jats:sup>2<\/jats:sup>. The crude prevalence of diabetes mellitus (DM) was 7%, hypercholesterolaemia was identified in 57%, and 44% had elevated BP. Among fasting individuals (n=1814), DM was found in 18%. In total, 30% were confronted with a CVRF they were previously unaware of, and pharmacists recommended 45% of all participants to actively consult a physician. A first-time diagnosis of a CVRF was most frequent in the age groups between 25 and 64 (32% of participants).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This pharmacy-based approach for cardiovascular risk screening found similar overall prevalences of CVRFs as reported by national surveys, but revealed underdiagnoses, particularly in lower age groups. A previously unknown CVRF was identified in every third individual, frequently prompting the pharmacists to recommend the consultation of a physician. An active screening approach at pharmacies might therefore serve as an effective alternative to the public preventive medical examination, particularly in younger age groups.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2016-000497","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T22:29:20Z","timestamp":1474324160000},"page":"e000497","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Systematic screening for cardiovascular risk at pharmacies"],"prefix":"10.1136","volume":"3","author":[{"given":"Miklos","family":"Rohla","sequence":"first","affiliation":[{"name":"3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heinz","family":"Haberfeld","sequence":"additional","affiliation":[{"name":"Pharmacists College of Lower Austria, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Sinzinger","sequence":"additional","affiliation":[{"name":"Institute for Diagnosis and Treatment of Lipid Disorders and Atherosclerosis (ATHOS), Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Kritz","sequence":"additional","affiliation":[{"name":"Wilhelm-Auerswald Atherosclerosis Research Group, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Tscharre","sequence":"additional","affiliation":[{"name":"3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias K","family":"Freynhofer","sequence":"additional","affiliation":[{"name":"3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt","family":"Huber","sequence":"additional","affiliation":[{"name":"3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria"},{"name":"Medical Faculty, Sigmund Freud University, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas W","family":"Weiss","sequence":"additional","affiliation":[{"name":"3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminen Hospital, Vienna, Austria"},{"name":"Medical Faculty, Sigmund Freud University, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,9,19]]},"reference":[{"key":"2025081711123220000_3.2.e000497.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60834-3"},{"key":"2025081711123220000_3.2.e000497.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17018-9"},{"key":"2025081711123220000_3.2.e000497.3","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.23273"},{"key":"2025081711123220000_3.2.e000497.4","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-40901-4_5"},{"key":"2025081711123220000_3.2.e000497.5","unstructured":"Bundesministerium f\u00fcr Gesundheit. Das \u00f6sterreichische Gesundheitssystem\u2014Zahlen, Daten, Fakten. Secondary Das \u00f6sterreichische Gesundheitssystem\u2014Zahlen, Daten, Fakten 2013. http:\/\/www.bmg.gv.at\/cms\/home\/attachments\/3\/4\/4\/CH1066\/CMS1291414949078\/gesundheitssystem-zahlen-daten-2013.pdf"},{"key":"2025081711123220000_3.2.e000497.6","doi-asserted-by":"publisher","DOI":"10.1161\/hc4601.099487"},{"key":"2025081711123220000_3.2.e000497.7","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200306000-00001"},{"key":"2025081711123220000_3.2.e000497.8","unstructured":"United Nations Statistical Office. Provisional Guidelines on Standard International Age Classifications , Series M, No. 74 1982."},{"key":"2025081711123220000_3.2.e000497.9","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht151"},{"key":"2025081711123220000_3.2.e000497.10","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr158"},{"key":"2025081711123220000_3.2.e000497.11","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht108"},{"key":"2025081711123220000_3.2.e000497.12","first-page":"1191","article-title":"The 1975 Declaration of Helsinki and consent","volume":"115","author":"Shephard","year":"1976","journal-title":"Can Med Assoc J"},{"key":"2025081711123220000_3.2.e000497.13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0091157"},{"key":"2025081711123220000_3.2.e000497.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.03.528"},{"key":"2025081711123220000_3.2.e000497.15","unstructured":"Federal Ministry of Health. Austrian Health Interview Survey. Secondary Austrian Health Interview Survey, 2014. http:\/\/www.bmg.gv.at\/cms\/home\/attachments\/1\/6\/8\/CH1066\/CMS1448449619038\/gesundheitsbefragung_2014.pdf"},{"key":"2025081711123220000_3.2.e000497.16","unstructured":"Griebler R , Gei\u00dfler W , Winkler P . Zivilisaonskrankheit Diabetes: Auspr\u00e4gungen\u2014L\u00f6sungsansa\u00e4tze\u2014Herausforderungen. \u00d6sterreichischer Diabetesbericht, 2013. http:\/\/www.oedg.org\/pdf\/diabetesbericht_2013.pdf"},{"key":"2025081711123220000_3.2.e000497.17","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-0062"},{"key":"2025081711123220000_3.2.e000497.18","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/HJH.0000000000000929","article-title":"Awareness, treatment, and control of hypertension in Austria: a multicentre cross-sectional study","volume":"34","author":"Rohla","year":"2016","journal-title":"J Hypertens"},{"key":"2025081711123220000_3.2.e000497.19","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11911-8"},{"key":"2025081711123220000_3.2.e000497.20","unstructured":"The World Health Organization. Global Health Observatory Data\u2014Raised Cholesterol\u2014Situation and trends. Secondary Global Health Observatory Data\u2014Raised Cholesterol\u2014Situation and trends. 2008. http:\/\/www.who.int\/gho\/ncd\/risk_factors\/cholesterol_text\/en\/"},{"key":"2025081711123220000_3.2.e000497.21","unstructured":"Currie C , Zanotti C , Morgan A , et al . Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009\/2010 survey , 2012. Copenhagen, WHO Regional Office for Europe, 2012 (Health Policy for Children and Adolescents, No. 6)."},{"key":"2025081711123220000_3.2.e000497.22","unstructured":"Guinness World Records. Highest percentage of population who smoke (country). 2008. http:\/\/www.guinnessworldrecords.de\/search?term=austria"},{"key":"2025081711123220000_3.2.e000497.23","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/s40262-015-0342-7","article-title":"Pharmacokinetics and pharmacodynamics of Edoxaban, a non-vitamin k antagonist oral anticoagulant that inhibits clotting factor Xa","volume":"55","author":"Parasrampuria","year":"2016","journal-title":"Clin Pharmacokinet"}],"container-title":["Open Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/openhrt-2016-000497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T18:12:40Z","timestamp":1755454360000},"score":1,"resource":{"primary":{"URL":"https:\/\/openheart.bmj.com\/lookup\/doi\/10.1136\/openhrt-2016-000497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":23,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,9,19]]},"published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1136\/openhrt-2016-000497"],"URL":"https:\/\/doi.org\/10.1136\/openhrt-2016-000497","relation":{},"ISSN":["2053-3624"],"issn-type":[{"value":"2053-3624","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}