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BMJ. 2007 September 8; 335(7618): 474.
PMCID: PMC1971162
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Cardiac care is poorer for patients with psychosis

Records of 3.26 million patients from 485 UK general practices have shown that among the 701 patients with a diagnosis of both coronary heart disease and schizophrenia (and/or bipolar disorder), cholesterol concentration was less likely to be recorded and statins less likely to be prescribed than in those with coronary heart disease alone. The researchers found no differences between these patients and 127 000 patients with coronary heart disease, for other specified care indicators (smoking status and cessation advice; blood pressure recording; referral for those with angina; and treatment with a β blocker or antithrombotic). Patients with schizophrenia were 15% (95% confidence interval 8% to 20%) less likely to have a recent prescription for statins and 7% (3% to 11%) less likely to have had a recent record of cholesterol concentration despite having a higher rate of risk factors.

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