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Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE

(2023) ARCHIVES OF MEDICAL SCIENCE. 19(2). p.305-312
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Abstract
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.
Keywords
obesity, diabetes, Coronary artery diseasese, condary prevention, ischemic heart disease, goal attainment, mischemic heart disease, coronary artery disease

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MLA
Haberka, Maciej, et al. “Treatment Goal Attainment for Secondary Prevention in Coronary Patients with or without Diabetes Mellitus : Polish Multicenter Study POLASPIRE.” ARCHIVES OF MEDICAL SCIENCE, vol. 19, no. 2, 2023, pp. 305–12, doi:10.5114/aoms.2020.92558.
APA
Haberka, M., Jankowski, P., Kosior, D. A., Szpakowicz, M., Szóstak-Janiak, K., Kozieł, P., … Gąsior, Z. (2023). Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE. ARCHIVES OF MEDICAL SCIENCE, 19(2), 305–312. https://doi.org/10.5114/aoms.2020.92558
Chicago author-date
Haberka, Maciej, Piotr Jankowski, Dariusz A. Kosior, Małgorzata Szpakowicz, Karolina Szóstak-Janiak, Paweł Kozieł, Agnieszka Krzykwa, et al. 2023. “Treatment Goal Attainment for Secondary Prevention in Coronary Patients with or without Diabetes Mellitus : Polish Multicenter Study POLASPIRE.” ARCHIVES OF MEDICAL SCIENCE 19 (2): 305–12. https://doi.org/10.5114/aoms.2020.92558.
Chicago author-date (all authors)
Haberka, Maciej, Piotr Jankowski, Dariusz A. Kosior, Małgorzata Szpakowicz, Karolina Szóstak-Janiak, Paweł Kozieł, Agnieszka Krzykwa, Magda Łapińska, Małgorzata Setny, Karol Kamiński, Aldona Kubica, Dirk De Bacquer, Gui De Backer, Kornelia Kotseva, David Wood, Andrzej Pająk, Danuta Czarnecka, and Zbigniew Gąsior. 2023. “Treatment Goal Attainment for Secondary Prevention in Coronary Patients with or without Diabetes Mellitus : Polish Multicenter Study POLASPIRE.” ARCHIVES OF MEDICAL SCIENCE 19 (2): 305–312. doi:10.5114/aoms.2020.92558.
Vancouver
1.
Haberka M, Jankowski P, Kosior DA, Szpakowicz M, Szóstak-Janiak K, Kozieł P, et al. Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE. ARCHIVES OF MEDICAL SCIENCE. 2023;19(2):305–12.
IEEE
[1]
M. Haberka et al., “Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE,” ARCHIVES OF MEDICAL SCIENCE, vol. 19, no. 2, pp. 305–312, 2023.
@article{8660196,
  abstract     = {{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.}},
  author       = {{Haberka, Maciej and Jankowski, Piotr and Kosior, Dariusz A. and Szpakowicz, Małgorzata and Szóstak-Janiak, Karolina and Kozieł, Paweł and Krzykwa, Agnieszka and Łapińska, Magda and Setny, Małgorzata and Kamiński, Karol and Kubica, Aldona and De Bacquer, Dirk and De Backer, Gui and Kotseva, Kornelia and Wood, David and Pająk, Andrzej and Czarnecka, Danuta and Gąsior, Zbigniew}},
  issn         = {{1734-1922}},
  journal      = {{ARCHIVES OF MEDICAL SCIENCE}},
  keywords     = {{obesity,diabetes,Coronary artery diseasese,condary prevention,ischemic heart disease,goal attainment,mischemic heart disease,coronary artery disease}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{305--312}},
  title        = {{Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus : Polish multicenter study POLASPIRE}},
  url          = {{http://doi.org/10.5114/aoms.2020.92558}},
  volume       = {{19}},
  year         = {{2023}},
}

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