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
on behalf of the EUROASPIRE Investigators*
(2019) European Journal of Preventive Cardiology, volume 26, issue 8, pp. 824 - 835
(Article)
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
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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.
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Keywords: cardiovascular risk factors, EUROASPIRE, guidelines, lifestyle, secondary prevention, Cardiology and Cardiovascular Medicine, Epidemiology, Journal Article
ISSN: 2047-4873
Publisher: Oxford University Press
Note: Funding Information: Registry Executive Committee and Steering Committee of the EURObservational Research Programme (EORP). Data collection was conducted by the EORP department from the ESC by Emanuelle Fiorucci as Project Officer, Viviane Missiamenou and Florian Larras as Data Manager. The EUROASPIRE Study Group is grateful to the administrative staff, physicians, nurses and other personnel in the hospitals in which the survey was carried out and to all patients who participated in the surveys. All investigators are listed in the Supplemental Appendix 1. Statement of responsibility: the authors had full access to the data and took responsibility for its integrity. All authors have read and agreed to the written manuscript. Some of the results of this study were presented at the EUROPREVENT congress 2018 and ESC congress 2018. Funding Information: The author(s) declared the following potential conflicts of interest with respect to the research, authorship and/or publication of this article: KK had grant support from the European Society of Cardiology for the submitted work. JB and RC were supported by grant No. 17-29520A provided by the Ministry of Health of the Czech Republic. PH and SS had research grants from the German Heart Foundation, the German Ministry of Research and Education, German Research Foundation, European Union, Charité, Berlin Chamber of Physicians, German Parkinson Society, University Hospital Würzburg, Robert-Koch-Institute, Federal Joint Committee (G-BA) within the Innovationfond, Charité–Universitätsmedizin Berlin (within MonDAFIS). GDB, DDB, LR, AH, DG, AM, PMV, CJ, AA, CA, JB, ACC, JC, KD, JD, DDS, JDS, MD, MD, VD, AE, ZF, DG, NG, HHA, PJ, NL, SL, DL, SM, LM, DM, EM, RO, NP, ZR, LT, CT, DV, DW have no financial interests that are relevant to the submitted work. Publisher Copyright: © The European Society of Cardiology 2019.
(Peer reviewed)