Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE
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 a...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2020-01-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/Treatment-goal-attainment-for-secondary-prevention-in-coronary-patients-with-or-without,112524,0,2.html |
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| author | Maciej Haberka 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 Guy de Backer Kornelia Kotseva David Wood Andrzej Pająk Danuta Czarnecka Zbigniew Gąsior |
| author_facet | Maciej Haberka 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 Guy de Backer Kornelia Kotseva David Wood Andrzej Pająk Danuta Czarnecka Zbigniew Gąsior |
| author_sort | Maciej Haberka |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T10:47:43Z |
| format | Article |
| id | doaj.art-bcb48bf4d4264e4d9f4c3a7efb2510a6 |
| institution | Directory Open Access Journal |
| issn | 1734-1922 1896-9151 |
| language | English |
| last_indexed | 2024-03-09T10:47:43Z |
| publishDate | 2020-01-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj.art-bcb48bf4d4264e4d9f4c3a7efb2510a62023-12-01T09:52:58ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512020-01-0119230531210.5114/aoms.2020.92558112524Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIREMaciej Haberka0Piotr Jankowski1Dariusz A. Kosior2Małgorzata Szpakowicz3Karolina Szóstak-Janiak4Paweł Kozieł5Agnieszka Krzykwa6Magda Łapińska7Małgorzata Setny8Karol Kamiński9Aldona Kubica10Dirk de Bacquer11Guy de Backer12Kornelia Kotseva13David Wood14Andrzej Pająk15Danuta Czarnecka16Zbigniew Gąsior17Department of Cardiology, School of Health Sciences, Medical University of Silesia, PolandI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, PolandMossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, PolandDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, PolandDepartment of Cardiology, School of Health Sciences, Medical University of Silesia, PolandI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, PolandDepartment of Cardiology and Hypertension with the Electrophysiological Lab, Central Research Hospital the Ministry of the Interior and Administration, Warsaw, PolandDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, PolandDepartment of Cardiology and Hypertension with the Electrophysiological Lab, Central Research Hospital the Ministry of the Interior and Administration, Warsaw, PolandDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, PolandDepartment of Health Promotion, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, PolandDepartment of Public Health and Primary Care, Ghent University, BelgiumDepartment of Public Health and Primary Care, Ghent University, BelgiumCardiovascular Medicine, National Heart and Lung Institute, Imperial College London and National Institute of Preventive Cardiology, National University of Ireland-Galway, Galway, IrelandCardiovascular Medicine, National Heart and Lung Institute, Imperial College London and National Institute of Preventive Cardiology, National University of Ireland-Galway, Galway, IrelandDepartment of Clinical Epidemiology and Population Studies, Institute of Public Health, Jagiellonian University Medical College, Krakow, PolandI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, PolandDepartment of Cardiology, School of Health Sciences, Medical University of Silesia, PolandIntroduction 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.https://www.archivesofmedicalscience.com/Treatment-goal-attainment-for-secondary-prevention-in-coronary-patients-with-or-without,112524,0,2.htmlmischemic heart diseasecoronary artery diseasediabetesobesitysecondary preventiongoal attainment |
| spellingShingle | Maciej Haberka 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 Guy de Backer Kornelia Kotseva David Wood Andrzej Pająk Danuta Czarnecka Zbigniew Gąsior Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE Archives of Medical Science mischemic heart disease coronary artery disease diabetes obesity secondary prevention goal attainment |
| title | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE |
| title_full | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE |
| title_fullStr | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE |
| title_full_unstemmed | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE |
| title_short | Treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus – Polish multicenter study POLASPIRE |
| title_sort | treatment goal attainment for secondary prevention in coronary patients with or without diabetes mellitus polish multicenter study polaspire |
| topic | mischemic heart disease coronary artery disease diabetes obesity secondary prevention goal attainment |
| url | https://www.archivesofmedicalscience.com/Treatment-goal-attainment-for-secondary-prevention-in-coronary-patients-with-or-without,112524,0,2.html |
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