Vascular health and risk management · 2016
Cardiovascular risk factor control is insufficient in young patients with coronary artery disease.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Christiansen Morten Krogh, Jensen Jesper Møller, Brøndberg Anders Krogh, Bøtker Hans Erik, Jensen Henrik Kjærulf
Аннотация
BACKGROUND: Control of cardiovascular risk factor is important in secondary prevention of coronary artery disease (CAD) but it is unknown whether treatment targets are achieved in young patients. We aimed to examine the prevalence and control of risk factors in this subset of patients.
METHODS: We performed a cross-sectional, single-center study on patients with documented CAD before age 40. All patients treated between 2002 and 2014 were invited to participate at least 6 months after the last coronary intervention. We included 143 patients and recorded the family history of cardiovascular disease, physical activity level, smoking status, body mass index, waist circumference, blood pressure, cholesterol levels, metabolic status, and current medical therapy. Risk factor control and treatment targets were evaluated according to the shared guidelines from the European Society of Cardiology.
RESULTS: The most common insufficiently controlled risk factors were overweight (113 [79.0%]), low-density lipoprotein cholesterol above target (77 [57.9%]), low physical activity level (78 [54.6%]), hypertriglyceridemia (67 [46.9%]), and current smoking (53 [37.1%]). Almost one-half of the patients fulfilled the criteria of metabolic syndrome. The median (interquartile range) number of uncontrolled modifiable risk factors was 2 (2;4) and only seven (4.9%) patients fulfilled all modifiable health measure targets.
CONCLUSION: Among the youngest patients with CAD, there remains a potential to improve the cardiovascular risk profile.
METHODS: We performed a cross-sectional, single-center study on patients with documented CAD before age 40. All patients treated between 2002 and 2014 were invited to participate at least 6 months after the last coronary intervention. We included 143 patients and recorded the family history of cardiovascular disease, physical activity level, smoking status, body mass index, waist circumference, blood pressure, cholesterol levels, metabolic status, and current medical therapy. Risk factor control and treatment targets were evaluated according to the shared guidelines from the European Society of Cardiology.
RESULTS: The most common insufficiently controlled risk factors were overweight (113 [79.0%]), low-density lipoprotein cholesterol above target (77 [57.9%]), low physical activity level (78 [54.6%]), hypertriglyceridemia (67 [46.9%]), and current smoking (53 [37.1%]). Almost one-half of the patients fulfilled the criteria of metabolic syndrome. The median (interquartile range) number of uncontrolled modifiable risk factors was 2 (2;4) and only seven (4.9%) patients fulfilled all modifiable health measure targets.
CONCLUSION: Among the youngest patients with CAD, there remains a potential to improve the cardiovascular risk profile.
Предметные рубрики MeSH
AdultAge of OnsetAntihypertensive AgentsBiomarkersBlood PressureBody Mass IndexCholesterol, LDLCoronary Artery DiseaseCross-Sectional StudiesDenmarkDyslipidemiasExerciseFemaleHumansHypertensionHypolipidemic AgentsLipaseMaleMetabolic SyndromeMiddle AgedOverweightPrevalenceRegistriesRisk FactorsRisk Reduction BehaviorSecondary PreventionSmokingSmoking CessationSmoking PreventionTime FactorsTreatment OutcomeWaist Circumference