Article

The purpose of this study was to ascertain way in which conventional
risk factors, readiness to modify behaviour and to comply with recommended
medication, and the effect of this medication were associated with education in
patients with established coronary heart disease (CHD). METHODS: The EUROASPIRE
IV (EUROpean Action on Secondary Prevention by Intervention to Reduce Events)
study was a cross-sectional survey undertaken in 24 European countries to
ascertain how recommendations on secondary CHD prevention are being followed in
clinical practice. Consecutive patients, men and women </=80 years of age who had
been hospitalized for an acute coronary syndrome or revascularization procedure,
were identified retrospectively. Data were collected through an interview with
examinations at least six months and no later than three years after
hospitalization. RESULTS: A total of 7937 patients (1934 (24.37%) women) were
evaluated. Patients with primary education were older, with a larger proportion
of women. Control of risk factors, as defined by Joint European Societies 4 and 5
guidelines, was significantly better with higher education for current smoking (p
= 0.001), overweight and obesity (p = 0.047 and p = 0.029, respectively), low
physical activity (p < 0.001) and low high-density lipoprotein (HDL)-cholesterol
(p = 0.011) in men, and for obesity (p = 0.005), high blood pressure (p < 0.005
and p < 0.001), low physical activity (p = 0.001), diabetes (p < 0.001) and low
HDL-cholesterol (p = 0.023) in women. Patients with primary and secondary
education were more often treated with diuretics and antidiabetic drugs. Better
control of hypertension was achieved in patients with higher education.
CONCLUSION: Particular risk communication and control are needed in secondary CHD
prevention for patients with lower educational status.
CI - (c) The European Society of Cardiology 2015.

Langue : ANGLAIS