دورية أكاديمية
Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE
العنوان: | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE |
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المؤلفون: | Haberka, Maciej, Jankowski, Piotr, Kosior, Dariusz A., Szpakowicz, Małgorzata, Szóstak-Janiak, Karolina, Kozieł, Paweł, Krzykwa, Agnieszka, Łapińska, Magda, Setny, Małgorzata, Kamiński, Karol, Kubica, Aldona, De Bacquer, Dirk, De Backer, Gui, Kotseva, Kornelia, Wood, David, Pająk, Andrzej, Czarnecka, Danuta, Gąsior, Zbigniew |
المصدر: | ARCHIVES OF MEDICAL SCIENCE ; ISSN: 1734-1922 ; ISSN: 1896-9151 |
سنة النشر: | 2023 |
المجموعة: | Ghent University Academic Bibliography |
مصطلحات موضوعية: | Medicine and Health Sciences, obesity, diabetes, Coronary artery diseasese, condary prevention, ischemic heart disease, goal attainment, mischemic heart disease, coronary artery disease |
الوصف: | Introduction: Cardiovascular disease is still a leading cause of death in Poland and across Europe. The aim of this study was to assess the attainment of the main treatment goals for secondary cardiovascular prevention in coronary patients with or without diabetes mellitus (DM) in Poland. Material and methods: The study group included 1026 patients (65.5 ±9 y.o.; males: 72%) included at least 6 months after the index hospitalisation for myocardial infarction, unstable angina, elective percutaneous coronary intervention or coronary artery bypass surgery. The target and treatment goals were defined according to the 2016 European Society of Cardiology guidelines on cardiovascular prevention. Results: Patients with DM (n = 332; 32%) were slightly older compared to non-diabetic (n = 694) individuals (67.2 ±7 vs. 64.6 ±9 years old; p < 0.0001). The DM goal was achieved in 196 patients (60%). The rate of primary (LDL: 51% vs. 35%; p < 0.0001) and secondary (non-HDL: 56% vs. 48%; p < 0.02) goal attainment was higher in DM(+) compared to DM(–) patients. The rate of target blood pressure was lower in DM(+) than in normoglycemic patients (52% vs. 61% at < 140/90 mm Hg, p < 0.01. As expected, goal achievement of normal weight (9.5% vs. 19%; p < 0.0001) and waist circumference (7% vs. 15%; p < 0.001) was lower in diabetic patients and the rate of regular physical activity was similar (DM+ 12% vs. DM– 14%; p = ns). Finally, there was no difference in active smokers (DM+ 23% vs. DM– 22%; p = ns). Conclusions: Great majority of Polish patients in secondary prevention do not achieve treatment goals. Although lipid goals attainment is better in DM and the rate of smokers is similar, the management of all risk factors needs to be improved. |
نوع الوثيقة: | article in journal/newspaper |
وصف الملف: | application/pdf |
اللغة: | English |
العلاقة: | https://biblio.ugent.be/publication/8660196Test; http://hdl.handle.net/1854/LU-8660196Test; http://dx.doi.org/10.5114/aoms.2020.92558Test; https://biblio.ugent.be/publication/8660196/file/8660198Test |
DOI: | 10.5114/aoms.2020.92558 |
الإتاحة: | https://doi.org/10.5114/aoms.2020.92558Test https://biblio.ugent.be/publication/8660196Test http://hdl.handle.net/1854/LU-8660196Test https://biblio.ugent.be/publication/8660196/file/8660198Test |
حقوق: | Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License (CC BY-NC-SA 4.0) ; info:eu-repo/semantics/openAccess |
رقم الانضمام: | edsbas.3F37CB1 |
قاعدة البيانات: | BASE |
DOI: | 10.5114/aoms.2020.92558 |
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