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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

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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 >= 30 kg/m(2)), 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.
Keywords
EUROASPIRE, lifestyle, cardiovascular risk factors, secondary prevention, guidelines, LOW-INCOME COUNTRIES, HEART-DISEASE, CLINICAL-PRACTICE, SECONDARY PREVENTION, SMOKING-CESSATION, MYOCARDIAL-INFARCTION, ARTERY-DISEASE, TASK-FORCE, GUIDELINES, PREVALENCE

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MLA
Kotseva, Kornelia et al. “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 (2019): 824–835. Print.
APA
Kotseva, Kornelia, De Backer, G., De Bacquer, D., Rydén, L., Hoes, A., Grobbee, D., Maggioni, A., et al. (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), 824–835.
Chicago author-date
Kotseva, Kornelia, Gui De Backer, Dirk De Bacquer, Lars Rydén, Arno Hoes, Diederick Grobbee, Aldo Maggioni, et al. 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): 824–835.
Chicago author-date (all authors)
Kotseva, Kornelia, Gui De Backer, Dirk De Bacquer, Lars Rydén, Arno Hoes, Diederick Grobbee, Aldo Maggioni, Pedro Marques-Vidal, Catriona Jennings, Ana Abreu, Carlos Aguiar, Jolita Badariene, Jan Bruthans, Almudena Castro Conde, Renata Cifkova, Jim Crowley, Kairat Davletov, Jaap Deckers, Delphine De Smedt, Johan De Sutter, Mirza Dilic, Marina Dolzhenko, Vilnis Dzerve, Andrejs Erglis, Zlatko Fras, Dan Gaita, Nina Gotcheva, Peter Heuschmann, Hosam Hasan-Ali, Piotr Jankowski, Nebojsa Lalic, Seppo Lehto, Dragan Lovic, Silvia Mancas, Linda Mellbin, Davor Milicic, Erkin Mirrakhimov, Rafael Oganov, Nana Pogosova, Zeljko Reiner, Stefan Stöerk, Lale Tokgözoğlu, Costas Tsioufis, Dusko Vulic, and David Wood. 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): 824–835.
Vancouver
1.
Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D, et al. 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. 2019;26(8):824–35.
IEEE
[1]
K. Kotseva et al., “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, vol. 26, no. 8, pp. 824–835, 2019.
@article{8628966,
  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 >= 30 kg/m(2)), 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.},
  author       = {Kotseva, Kornelia and De Backer, Gui and De Bacquer, Dirk and Rydén, 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 Castro Conde, Almudena and Cifkova, Renata and Crowley, Jim and Davletov, Kairat and Deckers, Jaap and De Smedt, Delphine and De Sutter, Johan 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 Stöerk, Stefan and Tokgözoğlu, Lale and Tsioufis, Costas and Vulic, Dusko and Wood, David},
  issn         = {2047-4873},
  journal      = {EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY},
  keywords     = {EUROASPIRE,lifestyle,cardiovascular risk factors,secondary prevention,guidelines,LOW-INCOME COUNTRIES,HEART-DISEASE,CLINICAL-PRACTICE,SECONDARY PREVENTION,SMOKING-CESSATION,MYOCARDIAL-INFARCTION,ARTERY-DISEASE,TASK-FORCE,GUIDELINES,PREVALENCE},
  language     = {eng},
  number       = {8},
  pages        = {824--835},
  title        = {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},
  url          = {http://dx.doi.org/10.1177/2047487318825350},
  volume       = {26},
  year         = {2019},
}

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