| Titre : | Clinical reality of coronary prevention guidelines : a comparison of EUROASPIRE I and II in nine countries. Commentary. (2001) |
| Auteurs : | Jerome-D COHEN ; Euroaspire I and Ii Group. INC |
| Type de document : | Article |
| Dans : | Lancet (The) (vol. 357, n° 9261, 2001) |
| Pagination : | 972-1001 (9p.) |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Europe ; Facteur risque ; Prévalence ; Epidémiologie ; Etude comparée ; Prévention santé ; Evaluation ; Thérapeutique médicamenteuse ; Adulte ; Homme ; Appareil circulatoire [pathologie] ; Thérapeutique |
| Résumé : | [BDSP. Notice produite par INIST 471fR0xJ. Diffusion soumise à autorisation]. Background Patients with coronary heart disease (CHD) are the top priority for preventive cardiology. The first EUROASPIRE survey among patients with established CHD in nine countries in 1995-96 showed substantial potential for risk reduction. A second survey (EUROASPIRE II) was done in 1999-2000 in the same countries to see whether preventive cardiology had improved since the first. We compared the proportion of patients in both studies who achieved the lifestyle, risk-factor, and therapeutic goals recommended by the Joint European Societies report on coronary prevention. Methods The surveys were undertaken in the same selected geographical areas and hospitals in the Czech Republic, Finland, France, Germany, Hungary, Italy, the Netherlands, Slovenia, and Spain. Consecutive patients (men and women <=70 years of age) were identified after coronary-artery bypass graft or percutaneous transluminal coronary angioplasty, or a hospital admission with acute myocardial infarction or ischaemia, and were interviewed at least 6 months later. Findings 3569 and 3379 patients were interviewed in the first and second surveys, respectively. The prevalence of smoking remained almost unchanged at 19.4% vs 20.8%. The prevalence of obesity (body-mass index >=30 kg/m2) increased substantially from 25.3% to 32.8%. The proportion with high blood pressure (>=140/90 mm Hg) was virtually the same (55.4% vs 53.9%), whereas the prevalence of high total cholesterol concentrations (>=5. (...) |
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