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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

K. Kotseva, G. De Backer, D. De Bacquer, L. Rydén, A. Hoes, D. Grobbee, A. Maggioni, P. Marques-Vidal, C. Jennings, A. Abreu, C. Aguiar, J. Badariene, J. Bruthans, A. Castro Conde, R. Cifkova, J. Crowley, K. Davletov, J. Deckers, D. De Smedt, J....

. 2019 ; 26 (8) : 824-835. [pub] 20190210

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20025871

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 ≥30 kg/m2), 59% were centrally obese (waist circumference: men ≥102 cm; women ≥88 cm) while 66% were physically active <30 min 5 times/week. Forty-two per cent had a blood pressure ≥140/90 mmHg (≥140/85 if diabetic), 71% had low-density lipoprotein cholesterol ≥1.8 mmol/L (≥70 mg/dL) and 29% reported having diabetes. Cardioprotective medication was: anti-platelets 93%, beta-blockers 81%, angiotensin-converting 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.

Assiut University Heart Hospital Cardiovascular Medicine Department Egypt

Cardiac Rehabilitation Unit Cardiology Department Hospital Universitario La Paz Madrid Spain

Centre for Medical Research School of Medicine University of Banja Luka Republic of Srpska Bosnia and Herzegovina

Clinic of Cardiac and Vascular diseases Medical Faculty Vilnius University Lithuania 12 Centre of Cardiology and Angiology Vilnius University Hospital Santaros Klinikos Lithuania

Comprehensive Heart Failure Centre University and University Hospital Würzburg Germany 42 Department of Medicine 1 University Hospital Würzburg Germany

Department for Metabolic Disorder Intensive Treatment and Cell Therapy in Diabetes Clinic for Endocrinology Diabetes and Metabolic Diseases Clinical Centre of Serbia Belgrade Serbia

Department of Cardiology Interventional Electrocardiology and Hypertension Jagiellonian University Medical College Krakow Poland

European Society of Cardiology Sophia Antipolis France 10 Hospital Santa Cruz Centro Hospitalar de Lisboa Ocidental Lisbon Portugal

European Society of Cardiology Sophia Antipolis France 13 Centre for Cardiovascular Prevention Charles University Prague 1st Faculty of Medicine and Thomayer Hospital Czech Republic

European Society of Cardiology Sophia Antipolis France 15 Department of Cardiology Galway University Hospital and Croí the West of Ireland Cardiac and Stroke Foundation Croí Heart and Stroke Centre Galway Ireland

European Society of Cardiology Sophia Antipolis France 17 Erasmus MC Rotterdam The Netherlands

European Society of Cardiology Sophia Antipolis France 18 Department of Internal Medicine and Paediatrics Ghent University Belgium 19 AZ Maria Middelares Ghent Belgium

European Society of Cardiology Sophia Antipolis France 2 National Heart and Lung Institute Imperial College London UK

European Society of Cardiology Sophia Antipolis France 2 National Heart and Lung Institute Imperial College London UK 46 National University of Ireland Galway Ireland *Listed in Supplemental Appendix

European Society of Cardiology Sophia Antipolis France 20 Medical Faculty University of Sarajevo Bosnia and Herzegovina

European Society of Cardiology Sophia Antipolis France 22 Institute of Cardiology and Regenerative Medicine University of Latvia Riga Latvia

European Society of Cardiology Sophia Antipolis France 23 Pauls Stradins Clinical University Hospita University of Latvia Riga Latvia

European Society of Cardiology Sophia Antipolis France 24 Preventive Cardiology Unit Department of Vascular Medicine Division of Medicine University Medical Centre Ljubljana Ljubljana Slovenia 25 Medical Faculty University of Ljubljana Slovenia

European Society of Cardiology Sophia Antipolis France 26 Universitatea de Medicina si Farmacie Victor Babes Institutul de Boli Cardiovasculare Clinica de Recuperare Cardiovasculara Timisoara Romania

European Society of Cardiology Sophia Antipolis France 3 Department of Public Health and Primary Care Ghent University Belgium

European Society of Cardiology Sophia Antipolis France 34 Varkaus Hospital Finland

European Society of Cardiology Sophia Antipolis France 35 Clinic for Internal Disease Intermedic Cardiology Department Hypertension Centre Nis Serbia

European Society of Cardiology Sophia Antipolis France 36 University of Zagreb School of Medicine and University Hospital Centre Zagreb Croatia

European Society of Cardiology Sophia Antipolis France 37 Kyrgyz State Medical Academy Bishkek Kyrgyzstan 38 National Centre of Cardiology and Internal Medicine named after academician Mirrakhimov MM Bishkek Kyrgyzstan

European Society of Cardiology Sophia Antipolis France 4 Department of Medicine Solna Karolinska Institutet Stockholm Sweden

European Society of Cardiology Sophia Antipolis France 41 University Hospital Centre Zagreb School of Medicine University of Zagreb Croatia

European Society of Cardiology Sophia Antipolis France 43 Department of Cardiology Hacettepe University Ankara Turkey

European Society of Cardiology Sophia Antipolis France 44 1st Department of Cardiology Medical School National and Kapodistrian University of Athens Greece

European Society of Cardiology Sophia Antipolis France 5 Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht The Netherlands

European Society of Cardiology Sophia Antipolis France 6 Julius Global Health Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht The Netherlands

European Society of Cardiology Sophia Antipolis France 7 ANMCO Research Centre Florence Italy

European Society of Cardiology Sophia Antipolis France 8 Department of Medicine Internal Medicine Lausanne University Hospital Switzerland

Federal State Budget Organization National Medical Research Centre of Cardiology of the Ministry of Healthcare of the Russian Federation Moscow Russia

Hospital Santa Marta Centro Hospitalar de Lisboa Central Lisbon Portugal

Institute of Clinical Epidemiology and Biometry University of Würzburg Germany 29 Clinical Trial Centre University Hospital Würzburg Germany 30 Comprehensive Heart Failure Centre University and University Hospital Würzburg Germany

National Heart Hospital Dept Cardiology Sofia Bulgaria

National Research Centre for Preventive Medicine Directorate Moscow Russia

School of Public Health Public Health Research Centre Kazakh National Medical University Almaty Kazakhstan

Supyk National Medical Academy of Postgraduate Education Kiev Ukraine

Universitatea de Medicina si Farmacie Victor Babes Institutul de Boli Cardiovasculare Clinica de Recuperare Cardiovasculara Timisoara Romania

Citace poskytuje Crossref.org

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