Table 1. Clinical indications for lipid-lowering, anticoagulant, and antihypertensive drugs.
Prevention Drug | Clinical Indications for Prevention Drug | Definition of Variables |
---|---|---|
Lipid-lowering drugs | CHD | Presence of clinical code recorded before stroke/TIA |
CKD | Presence of clinical code recorded before stroke/TIA | |
PAD | Presence of clinical code recorded before stroke/TIA | |
TIA | Presence of clinical code recorded before stroke | |
Diabetes mellitus and age over 40 y | Presence of clinical code recorded before stroke/TIA; age at time of stroke/TIA | |
Familial hypercholesterolaemia | Presence of clinical code recorded before stroke/TIA or total cholesterol ≥ 9 mmol/l (most recent value recorded before stroke/TIA) | |
10-y CVD risk of ≥20% | Framingham CVD risk score* | |
Anticoagulant drugs | Atrial fibrillation and CHADS2 score ≥ 1 | Presence of clinical code recorded before stroke/TI; CHADS2 score* |
Antihypertensive drugs | Blood pressure ≥ 160/100 mm Hg | The mean of the three most recent systolic and diastolic blood pressure recordings within 3 y prior to stroke/TIA |
Blood pressure ≥ 140/90 mm Hg and CHD, CKD, PAD, TIA, diabetes and age > 40 y, or a 10-y CVD risk of ≥20% | The mean of the three most recent systolic and diastolic blood pressure recordings within 3 y prior to stroke/TIA; presence of clinical code recorded before stroke/TIA; Framingham CVD risk score* |
*Calculated 1 d prior to the index date.
CHD, coronary heart disease; CKD, chronic kidney disease; CVD, cardiovascular disease; PAD, peripheral arterial disease; TIA, transient ischaemic attack.