Journal
GLOBAL HEART
Volume 12, Issue 4, Pages 315-+Publisher
UBIQUITY PRESS LTD
DOI: 10.1016/j.gheart.2015.11.003
Keywords
-
Categories
Funding
- European Society of Cardiology
- Swedish Heart and Lung Foundation
- Polish Ministry of Science and Higher Education [20062009]
- National Science Centre [DEC-2011/03/B/N27/06101]
- Internal Grant Agency, Ministry of Health, Czech Republic [NT 13186]
- Servier
- Merck Sharp and Dohme
- Sanofi-Aventis
- Menarini
- AstraZeneca
- Merck Sharp and Dohme Sweden
- Fondation Plan Alzheimer
- Alzprotect
- Total
- Roche
- Daichi Sankyo
- Genoscreen
- Euro Heart Survey
- Bristol-Myers Squibb
- Pfizer (EUROASPIRE II)
- GlaxoSmithKline
- Merck/Schering-Plough
- Novartis
- Pfizer
- Servier (EUROASPIRE III)
- Amgen
- F. Hoffman-La Roche
- Merck Sharp and Dohme (EUROASPIRE IV)
- National Institute for Health Research [NF-SI-0508-10312] Funding Source: researchfish
Ask authors/readers for more resources
Background: The EUROASPIRE (European Action on Secondary and Primary Prevention by Intervention to Reduce Events) cross-sectional surveys describe time trends in lifestyle and risk factor control among coronary patients between 1999 and 2013 in Belgium, Czech Republic, Finland, France, Ireland, the Netherlands, Poland, Slovenia, and the United Kingdom as part of the EuroObservational Research Programme under the auspices of European Society of Cardiology. Objectives: This study sought to describe time trends in lifestyle, risk factor control, and the use of evidence-based medication in coronary patients across Europe. Methods: The EUROASPIRE II (1999 to 2000), III (2006 to 2007), and IV (2012 to 13) surveys were conducted in the same geographical areas and selected hospitals in each country. Consecutive patients (<= 70 years) after coronary artery bypass graft, percutaneous coronary intervention, or an acute coronary syndrome identified from hospital records were interviewed and examined >= 6 months later with standardized methods. Results: Of 12,775 identified coronary patients, 8,456 (66.2%) were interviewed. Proportion of current smokers was similar across the 3 surveys. Prevalence of obesity increased by 7%. The prevalence of raised blood pressure (>= 140/90 mm Hg or >= 140/80 mm Hg with diabetes) dropped by 8% from EUROASPIRE III to IV, and therapeutic control of blood pressure improved with 55% of patients below target in IV. The prevalence of low-density lipoprotein cholesterol >= 2.5 mmol/l decreased by 44%. In EUROASPIRE IV, 75% were above the target low-density lipoprotein cholesterol <1.8 mmol/l. The prevalence of self-reported diabetes increased by 9%. The use of evidence-based medications increased between the EUROASPIRE II and III surveys, but did not change between the III and IV surveys. Conclusions: Lifestyle habits have deteriorated over time with increases in obesity, central obesity, and diabetes and stagnating rates of persistent smoking. Although blood pressure and lipid management improved, they are still not optimally controlled and the use of evidence-based medications appears to have stalled apart from the increased use of high-intensity statins. These results underline the importance of offering coronary patients access to modern preventive cardiology programs.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available