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Secondary prevention of coronary artery disease in Poland : results from the POLASPIRE survey

(2020) CARDIOLOGY JOURNAL. 27(5). p.533-540
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Abstract
Background: The highest priority in preventive cardiology is given to patients with established coronary artery disease (CAD). The aim of the study was to assess the current implementation of the guidelines for secondary prevention in everyday clinical practice by evaluating control of the main risk factors and the cardioprotective medication prescription rates in patients following hospitalization for CAD. Methods: Fourteen departments of cardiology participated in the study. Patients (aged <= 80 years) hospitalized due an acute coronary syndrome or for a myocardial revascularization procedure were recruited and interviewed 6-18 months after the hospitalization. Results: Overall, 947 patients were examined 6-18 months after lwspitalization. The proportion of patients with high blood pressure (>= 140/90 mmHg) was 42%, with high low-density lipoprotein cholesterol (LDL-C >= 1.8 mmol/L) 62%, and with high fasting glucose (>= 7.0 mmol/L) 22%, 17% of participants were smokers and 42% were obese. The proportion of atients taking an antiplatelet agent 6-18 months after hospitalization was 93%, beta-blacker 89%, angiotensin converting enzyme inhibitor or sartan 86%, and a lipid-lowering drug 90%. Only 2.3% patients had controlled all the five main risk factors well (non-smoking, blood pressure < 140190 mmHg, LDL-C < 1.8 mmoIlL and glucose < 7.0 mmoilL, body mass index < 25 kg/m(2)), while 179% had 1 out of 5, 40.9% had 2 out of 5, and 29% had 3 out of 5 risk factors uncontrolled. Conclusions: The documented multicenter survey provides evidence that there is considerable potential for further reductions of cardiovascular risk in CAD patients in Poland. A revision of the state funded cardiac prevention programs seems rational.
Keywords
Cardiology and Cardiovascular Medicine, General Medicine, coronary artery disease, risk factors, secondary prevention, smoking, hypertension, hypercholesterolemia, MYOCARDIAL-INFARCTION, HEART-DISEASE, POLISH FORUM, GUIDELINES, COUNTRIES, MORTALITY, SOCIETY, TRENDS, RISK, CARE

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MLA
Jankowski, Piotr, et al. “Secondary Prevention of Coronary Artery Disease in Poland : Results from the POLASPIRE Survey.” CARDIOLOGY JOURNAL, vol. 27, no. 5, 2020, pp. 533–40, doi:10.5603/cj.a2020.0072.
APA
Jankowski, P., Kosior, D. A., Sowa, P., Szóstak-Janiak, K., Kozieł, P., Krzykwa, A., … Czarnecka, D. (2020). Secondary prevention of coronary artery disease in Poland : results from the POLASPIRE survey. CARDIOLOGY JOURNAL, 27(5), 533–540. https://doi.org/10.5603/cj.a2020.0072
Chicago author-date
Jankowski, Piotr, Dariusz A. Kosior, Paweł Sowa, Karolina Szóstak-Janiak, Paweł Kozieł, Agnieszka Krzykwa, Emilia Sawicka, et al. 2020. “Secondary Prevention of Coronary Artery Disease in Poland : Results from the POLASPIRE Survey.” CARDIOLOGY JOURNAL 27 (5): 533–40. https://doi.org/10.5603/cj.a2020.0072.
Chicago author-date (all authors)
Jankowski, Piotr, Dariusz A. Kosior, Paweł Sowa, Karolina Szóstak-Janiak, Paweł Kozieł, Agnieszka Krzykwa, Emilia Sawicka, Maciej Haberka, Małgorzata Setny, Karol Kamiński, Zbigniew Gąsior, Aldona Kubica, Dirk De Bacquer, Guy De Backer, Kornelia Kotseva, David Wood, Andrzej Pająk, and Danuta Czarnecka. 2020. “Secondary Prevention of Coronary Artery Disease in Poland : Results from the POLASPIRE Survey.” CARDIOLOGY JOURNAL 27 (5): 533–540. doi:10.5603/cj.a2020.0072.
Vancouver
1.
Jankowski P, Kosior DA, Sowa P, Szóstak-Janiak K, Kozieł P, Krzykwa A, et al. Secondary prevention of coronary artery disease in Poland : results from the POLASPIRE survey. CARDIOLOGY JOURNAL. 2020;27(5):533–40.
IEEE
[1]
P. Jankowski et al., “Secondary prevention of coronary artery disease in Poland : results from the POLASPIRE survey,” CARDIOLOGY JOURNAL, vol. 27, no. 5, pp. 533–540, 2020.
@article{8696851,
  abstract     = {{Background: The highest priority in preventive cardiology is given to patients with established coronary artery disease (CAD). The aim of the study was to assess the current implementation of the guidelines for secondary prevention in everyday clinical practice by evaluating control of the main risk factors and the cardioprotective medication prescription rates in patients following hospitalization for CAD.

Methods: Fourteen departments of cardiology participated in the study. Patients (aged <= 80 years) hospitalized due an acute coronary syndrome or for a myocardial revascularization procedure were recruited and interviewed 6-18 months after the hospitalization.

Results: Overall, 947 patients were examined 6-18 months after lwspitalization. The proportion of patients with high blood pressure (>= 140/90 mmHg) was 42%, with high low-density lipoprotein cholesterol (LDL-C >= 1.8 mmol/L) 62%, and with high fasting glucose (>= 7.0 mmol/L) 22%, 17% of participants were smokers and 42% were obese. The proportion of atients taking an antiplatelet agent 6-18 months after hospitalization was 93%, beta-blacker 89%, angiotensin converting enzyme inhibitor or sartan 86%, and a lipid-lowering drug 90%. Only 2.3% patients had controlled all the five main risk factors well (non-smoking, blood pressure < 140190 mmHg, LDL-C < 1.8 mmoIlL and glucose < 7.0 mmoilL, body mass index < 25 kg/m(2)), while 179% had 1 out of 5, 40.9% had 2 out of 5, and 29% had 3 out of 5 risk factors uncontrolled.

Conclusions: The documented multicenter survey provides evidence that there is considerable potential for further reductions of cardiovascular risk in CAD patients in Poland. A revision of the state funded cardiac prevention programs seems rational.}},
  author       = {{Jankowski, Piotr and Kosior, Dariusz A. and Sowa, Paweł and Szóstak-Janiak, Karolina and Kozieł, Paweł and Krzykwa, Agnieszka and Sawicka, Emilia and Haberka, Maciej and Setny, Małgorzata and Kamiński, Karol and Gąsior, Zbigniew and Kubica, Aldona and De Bacquer, Dirk and De Backer, Guy and Kotseva, Kornelia and Wood, David and Pająk, Andrzej and Czarnecka, Danuta}},
  issn         = {{1897-5593}},
  journal      = {{CARDIOLOGY JOURNAL}},
  keywords     = {{Cardiology and Cardiovascular Medicine,General Medicine,coronary artery disease,risk factors,secondary prevention,smoking,hypertension,hypercholesterolemia,MYOCARDIAL-INFARCTION,HEART-DISEASE,POLISH FORUM,GUIDELINES,COUNTRIES,MORTALITY,SOCIETY,TRENDS,RISK,CARE}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{533--540}},
  title        = {{Secondary prevention of coronary artery disease in Poland : results from the POLASPIRE survey}},
  url          = {{http://doi.org/10.5603/cj.a2020.0072}},
  volume       = {{27}},
  year         = {{2020}},
}

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