Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry

Kotseva, Kornelia and Backer, Guy De and Bacquer, Dirk De 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 Conde, Almudena Castro and Cifkova, Renata and Crowley, Jim and Davletov, Kairat and Deckers, Jaap and Smedt, Delphine De and Sutter, Johan De and Dilic, Mirza and Dolzhenko, Marina and Dzerve, Vilnis and Erglis, Andrejs and Fras, Zlatko and Gaita, Dan and Gotcheva, Nina and Heuschmann, Peter and Hasan-Ali, Hosam and Jankowski, Piotr and Lalic, Nebojsa and Lehto, Seppo and Lovic, Dragan and Mancas, Silvia and Mellbin, Linda and Milicic, Davor and Mirrakhimov, Erkin and Oganov, Rafael and Pogosova, Nana and Reiner, Zeljko and Sto ¨erk, Stefan and Tokgo ¨zog˘lu, La ˆle and Tsioufis, Costas and Vulic, Dusko and Wood, David and ..., . and Azarenko, V. and Potabashny, V. and Kolesnik, T. and Kosova, H. (2019) Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. European Journal of Preventive Cardiology, 26 (8). pp. 824-835. ISSN 2047-4873

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Abstract

Abstract Aims: The aim of this study was to determine whether the Joint European Societies guidelines on secondary cardiovascular prevention are followed in everyday practice. Design: A cross-sectional ESC-EORP survey (EUROASPIRE V) at 131 centres in 81 regions in 27 countries. Methods: Patients (<80 years old) with verified coronary artery events or interventions were interviewed and examined >6 months later. Results: A total of 8261 patients (females 26%) were interviewed. Nineteen per cent smoked and 55% of them were persistent smokers, 38% were obese (body mass index>30kg/m2), 59% were centrally obese (waist circumference: men >102cm; women >88cm) while 66% were physically active <30min 5 times/week. Forty-two per cent had a blood pressure >140/90mmHg (>140/85 if diabetic), 71% had low-density lipoprotein cholesterol >1.8mmol/L (>70mg/dL) and 29% reported having diabetes. Cardioprotective medication was: anti-platelets 93%, beta-blockers 81%, angiotensinconverting enzyme inhibitors/angiotensin receptor blockers 75% and statins 80%. Conclusion: A large majority of coronary patients have unhealthy lifestyles in terms of smoking, diet and sedentary behaviour, which adversely impacts major cardiovascular risk factors. A majority did not achieve their blood pressure, low-density lipoprotein cholesterol and glucose targets. Cardiovascular prevention requires modern preventive cardiology programmes delivered by interdisciplinary teams of healthcare professionals addressing all aspects of lifestyle and risk factor management, in order to reduce the risk of recurrent cardiovascular events. 24 25 26 27 28 29C 30 31 32 33 34 35C 36 37 38 39 40 41 42 44 45 46

Item Type:	Article
Additional Information:	DOI: 10.1177/2047487318825350
Uncontrolled Keywords:	EUROASPIRE, lifestyle, cardiovascular risk factors, secondary prevention, guidelines.
Subjects:	Internal Medicine Cardiology
Divisions:	Faculty of Postgraduate Education > Department of Therapy, cardiology and family medicine FPE Departments > Department of Internal Medicine
Depositing User:	Оксана Мажуга
Date Deposited:	14 Jan 2020 11:58
Last Modified:	27 Oct 2020 12:05
URI:	http://repo.dma.dp.ua/id/eprint/4777

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