Primary prevention efforts are poorly developed in people at high cardiovascular risk: A report from the European Society of Cardiology EURObservational Research Programme EUROASPIRE V survey in 16 European countries

Kotseva, Kornelia and De Backer, Guy and De Bacquer, Dirk and Ryde´n, Lars and Hoes, Arno and Grobbee, Diederick and Maggioni, Aldo and Marques-Vidal, Pedro and Jennings, Catriona and Abreu, Ana and Aguiar, Carlos and Badariene, Jolita and Bruthans, Jan and Cifkova, Renata and Davletov, Kairat and Dilic, Mirza and Dolzhenko, Maryna and Gaita, Dan and Gotcheva, Nina and Hasan-Ali, Hosam and Jankowski, Piotr and Lionis, Christos and Mancas, Silvia and Milic´ic´, Davor and Mirrakhimov, Erkin and Oganov, Rafael and Pogosova, Nana and Reiner, Željko and Vulic, Dusko and Wood, David and ..., . and Potabashniy, V. and Fesenko, V. and Asarenko, V. and Kolesnyk, T. and Kosova, H. and Nadiuk, A. (2020) Primary prevention efforts are poorly developed in people at high cardiovascular risk: A report from the European Society of Cardiology EURObservational Research Programme EUROASPIRE V survey in 16 European countries. European Journal of Preventive Cardiology. pp. 1-13. ISSN 2047-4873

Text 1. Фесенко. Primary prevention. European Journal.pdf Download (275kB)

Abstract

Background: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) V in primary care was carried out by the European Society of Cardiology EURObservational Research Programme in 2016–2018. The main objective was to determine whether the 2016 Joint European Societies’ guidelines on cardiovascular disease prevention in people at high cardiovascular risk have been implemented in clinical practice. Methods: The method used was a cross-sectional survey in 78 centres from 16 European countries. Patients without a history of atherosclerotic cardiovascular disease either started on blood pressure and/or lipid and/or glucose lowering treatments were identified and interviewed 6 months after the start of medication. Results: A total of 3562 medical records were reviewed and 2759 patients (57.6% women; mean age 59.0 11.6 years) interviewed (interview rate 70.0%). The risk factor control was poor with 18.1% of patients being smokers, 43.5% obese (body mass index 30 kg/m2 ) and 63.8% centrally obese (waist circumference 88 cm for women, 102 cm for men). Of patients on blood pressure lowering medication 47.0% reached the target of <140/90 mm Hg (<140/85 mm Hg in people with diabetes). Among treated dyslipidaemic patients only 46.9% attained low density lipoprotein-cholesterol target of <2.6 mmol/l. Among people treated for type 2 diabetes mellitus, 65.2% achieved the HbA1c target of <7.0%. Conclusion: The primary care arm of the EUROASPIRE V survey revealed that large proportions of people at high cardiovascular disease risk have unhealthy lifestyles and inadequate control of blood pressure, lipids and diabetes. Thus, the potential to reduce the risk of future cardiovascular disease throughout Europe by improved preventive cardiology programmes is substantial.

Item Type:	Article
Additional Information:	https://doi.org/10.1177%2F2047487320908698
Uncontrolled Keywords:	Primary prevention, guideline implementation, EUROASPIRE, cardiovascular risk factors.
Subjects:	Cardiology
Divisions:	Departments > Department of Internal Medicine Faculty of Postgraduate Education > Department of Therapy, cardiology and family medicine FPE
Depositing User:	Елена Шрамко
Date Deposited:	26 Oct 2020 14:26
Last Modified:	26 Oct 2020 14:26
URI:	http://repo.dma.dp.ua/id/eprint/5889

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