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Table 3 Differences in practice patterns of family physicians and general internist respondents in managing CVD* risk

From: Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events

  Family Physicians
(N = 562)
General Internists
(N = 326)
p-value
Antiplatelet therapy for prevention of myocardial infarction in a 45-year-old
asymptomatic woman with one BP reading of 145/90 mm Hg, BMI 28 kg/m2,
LDL 125 mg/dL, HDL 55 mg/dL, TG 200 mg/dL, and normal glucose
Aspirin 100 mg every other day 0.9% 0.9% < 0.01
Aspirin 81 mg daily 65.6% 54.3%  
Aspirin 325 mg daily 4.8% 5.8%  
Clopidogrel 75 mg daily 0.9% 2.5%  
No antiplatelet therapy** 27.8% 36.5%  
Dyslipidemia pharmacotherapy recommendation for a 45-year-old
asymptomatic woman with one BP reading of 145/90 mm Hg, BMI 28 kg/m2,
LDL 125 mg/dL, HDL 55 mg/dL, TG 200 mg/dL, and normal glucose
Atorvastatin 10 mg every evening 42.4% 41.0% 0.84
Ezetimide 10 mg daily 2.5% 4.3%  
Niacin 500 mg twice daily 3.9% 3.7%  
No specific therapy for dyslipidemia** 51.2% 50.9%  
Dietary recommendation (avoiding fat) for a 45-year-old asymptomatic woman
with one BP reading of 145/90 mm Hg, BMI 28 kg/m2, LDL 125 mg/dL, HDL 55
mg/dL, TG 200 mg/dL, and normal glucose
Trans fatty acids** 62.5% 61.8% 0.91
Polyunsaturated fats 9.6% 9.2%  
Mono-unsaturated fats 3.2% 5.8%  
No specific fat as long as it
does not exceed 30% of
total intake
24.6% 23.1%  
LDL Goal for a 50-year-old asymptomatic man, negative family history of
premature CHD, BP 170/94 mm Hg, BMI 26 kg/m2, total cholesterol 210 mg/dL,
LDL 130 mg/dL, HDL 36 mg/dL, TG 256 mg/dl, Fasting glucose 140 mg/dL, and
normal exercise stress test
LDL < 130 mg/dl 11.8% 12.3% 0.36
LDL < 100 mg/dl** 59.0% 56.0%  
LDL < 70 mg/dl 29.2% 31.7%  
Hypertension and dyslipidemia management for a new asymptomatic 78-year-
old female patient with questionable history of diabetes, BP 159/78 mm Hg, BMI
29 kg/m2, LDL 199 mg/dL, TG 479 mg/dL, and HbA1c of 6.0%
Lifestyle and dietary
modification
6.8% 8.0% 0.11
Lifestyle and dietary
modification and treatment with
a thiazide diuretic
6.6% 5.2%  
Lifestyle modification and
treatment with a statin
14.9% 10.2%  
Lifestyle and dietary
modification and treatment with
both a thiazide diuretic and a
statin**
71.7% 76.5%  
Approach to stress testing for a new asymptomatic 78-year-old female patient
with questionable history of diabetes, BP 159/78 mm Hg, BMI 29 kg/m2, LDL
199 mg/dL, TG 479 mg/dL, and HbA1c of 6.0%
I would order one as a
follow up to today's visit
39.6% 33.0% 0.88
I would order one today
and yearly thereafter
5.6% 10.5%  
I would order a test if she
develops symptoms of chest
pain, shortness of breath or
atypical angina**
48.1% 48.8%  
I would not order a stress test
on this elderly woman
6.7% 7.7%  
  1. *CVD, cardiovascular disease, CHD, coronary heart disease
  2. **Evidence-based guideline choice. T-test was performed comparing the two groups and their responses to the evidence-based guideline choice.