Prevalence of Modifiable Cardiovascular Risk Factors Remain High after Coronary Bypass Graft Surgery: A Multicentre Study Among Turkish Patients

Autor: Mustafa Demirtaş, Mehmet Emin Korkmaz, Mehmet Metin, Hidayet Tarik Kiziltan, Mehmet Baltali, Semra Topcu, M ŞLah Topçuoğlu, Ahmet Birand, Haldun Muderrisoglu
Přispěvatelé: Çukurova Üniversitesi
Rok vydání: 2002
Předmět:
Zdroj: European Journal of Cardiovascular Prevention & Rehabilitation. 9:207-214
ISSN: 1741-8275
1741-8267
DOI: 10.1177/174182670200900405
Popis: PubMedID: 12394329 Background The measures of secondary prevention in patients undergoing coronary bypass graft surgery (CABG) remains largely undetermined in Turkey. Design We designed a multicentre cross-sectional study to estimate the prevalence of cardiovascular risk factors in patients after CABG and to evaluate the association of demographic-socio-economic factors with secondary prevention in these patients. Methods A total of 622 patients who underwent CABG between 1 January 1999 and 15 January 2000 at four centres in Adana, Turkey; 273 (ages 35-77, 208 men) were interviewed and examined 1.0-2.2 years after the procedure. Results Of 273 patients interviewed, 81.5% were overweight, 65.5% had unhealthy food choices for a lipid-lowering diet, 56.0% were physically inactive, 28.8% were obese and 17.6% were current smokers. Hypercholesterolaemia, elevated blood pressure and fasting blood glucose were found in 65.6, 34.1 and 19.8%, respectively. Of diabetic patients, 63.8% had elevated fasting blood glucose. The use of angiotensin-converting enzyme inhibitors, beta-blockers and statins was low. Women had a higher rate of obesity and physical inactivity; smoking was less prevalent in females. More women were taking antihypertensive and lipid-lowering drugs than men. Logistic regression analysis revealed an association between hypercholesterolaemia and low educational level. Conclusion Turkish patients have a high prevalence of modifiable risk factors related to unhealthy lifestyle and ineffective prophylactic drug use 1 year or more after CABG. Low educational level has a significant influence in this situation. © 2002, European Society of Cardiology. All rights reserved.
Databáze: OpenAIRE