32%. There are no significant percentage differences in both groups of multiple vessels disease (two or three arteries), 43% vs. 48%, it is similar for left main lesions 6.6% vs. 7.0%, and in stent re-stenosis 2% vs. 2%, but there is a higher incidence of coronary ecstasies, 3% vs. 1%, and a higher percentage of significant lesions 68% vs. 46% (American Heart Association class C), associated with higher percentage of poor TIMI flow score (0, 1) 20% vs. 12%. There is a less percentage of multiple lesions (three or more) 47% vs. 56%. Conclusion: Indigenous population is associated with more significant coronary artery lesions, less amenable to percutaneous interventions, occurring at a younger age, more often in males with significantly less life expectancy. doi:10.1016/j.hlc.2011.04.021 16 Reducing Heart Disease in our Aboriginal Communities Lyn Dimer, Carine Van Santen, Deanna Eades, Penny James, Dot Henry Heart Foundation, WA, Australia Background: A critical shortage of appropriate cardiovascular educational resources for Aboriginal consumers and their families has been repeatedly identified by both Aboriginal health workers and non-Aboriginal health professionals. Of those heart health resources available none had been specifically targeted at Aboriginal people in Western Australia (WA). A collaboration of health organisations funded the development of resources as part of the “My Heart My Family Our Culture” project (Healthway, Office of Aboriginal and Torres Strait Islander Health Department of Health and Ageing and Department of Health, WA). The project involved extensive consultation with community people and health professionals. Resources covering risk factors and heart attack warning signs were produced for health professionals and consumers respectively and included flipcharts, posters, fridge magnet, DVD, fact sheets and recipe booklet. Orientation to the resources and cultural awareness training, if required, was provided to health professionals who disseminate the resources. Semi structured surveys were carried out with health professionals and Aboriginal consumers to evaluate the resources. Results: Evaluation findings have been very positive. The resources have been utilised in a variety of settings and disseminated at community events, hospitals, Aboriginal Community Controlled Health Organisations, General practice and prisons. Conclusion: My Heart My Family Our Culture educational resources have been well received by consumers, Aboriginal health workers and non-Aboriginal health professionals working with the Aboriginal community. Culturally safe educational materials that support participation and empowerment are an important adjunct to
Abstracts
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verbal communication in the promotion of health messages. doi:10.1016/j.hlc.2011.04.022 17 Identifying and Responding to the Information Needs of Indigenous Australians with Chronic Heart Failure (CHF) Vijay Ishami National Heart Foundation of Australia, Australia Introduction: Supporting self-care practices through tailored and evidence-driven information can provide patients with resources and strategies to manage their CHF, reducing morbidity and premature death. Consumer information needs of Indigenous Australians are not fully understood or well documented and opportunities for these consumers to make informed choices about CHF management and treatment are limited. Understanding the information needs of Indigenous Australians with CHF and developing relevant, evidence-based and user friendly information to support holistic management is the goal of this project. Method/results: A working group of experts in the field was established to provide guidance and advice to this body of work. A review of existing consumer resources confirmed the need for CHF information tailored to the cultural, social and linguistic requirements of Indigenous Australians. Guiding principles for resource development have been established and identify Aboriginal Health Workers (AHWs) as key supporters and enablers of patient holistic management, and as such were a focus of the needs analysis and piloting phases. Results from the needs analysis have been used to shape the format, language and content requirements of a resource that is being field tested for circulation in May 2011. Extensive stakeholder engagement throughout the project has provided opportunity for input and enhanced awareness of the forthcoming resource, which will be refined further through audience testing with end-users. Conclusion: This model of development may be useful for the production of other consumer resources for Indigenous Australians in addressing holistic care knowledge and practice in chronic disease management. doi:10.1016/j.hlc.2011.04.023 18 Pattern of Dyslipidaemia in Subjects with Coronary Artery Disease: A Study Comparing Indigenous and nonIndigenous Australians Keith Tiong a , Henrik Falhammar b a Department
of Medicine, John Hunter Hospital, Australia of Endocrinology, Metabolism and Diabetes, Karolinska University Hospital, Sweden b Department
Objectives: Australian Indigenous population suffers from ischaemic heart disease with significant mortality
ABSTRACTS
Heart, Lung and Circulation 2011;20S:S1–S13