PT - JOURNAL ARTICLE AU - Miklos Rohla AU - Heinz Haberfeld AU - Helmut Sinzinger AU - Harald Kritz AU - Maximilian Tscharre AU - Matthias K Freynhofer AU - Kurt Huber AU - Thomas W Weiss TI - Systematic screening for cardiovascular risk at pharmacies AID - 10.1136/openhrt-2016-000497 DP - 2016 Sep 01 TA - Open Heart PG - e000497 VI - 3 IP - 2 4099 - http://openheart.bmj.com/content/3/2/e000497.short 4100 - http://openheart.bmj.com/content/3/2/e000497.full SO - Open Heart2016 Sep 01; 3 AB - Background 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.Methods and results 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±17 years and 67.8% were women. 21% of men and 16% of women had a BMI≥30 kg/m2. 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).Conclusions 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.