Suboptimal control of cardiovascular risk factors in myocardial infarction survivors in a cardiac rehabilitation program

Autor: Vasco Silva, Eduardo Matos Vilela, Lilibeth Campos, Fátima Miranda, Susana Torres, Ana João, Madalena Teixeira, Pedro Braga, Ricardo Fontes-Carvalho
Jazyk: English<br />Portuguese
Rok vydání: 2021
Předmět:
Zdroj: Revista Portuguesa de Cardiologia, Vol 40, Iss 12, Pp 911-920 (2021)
Druh dokumentu: article
ISSN: 0870-2551
DOI: 10.1016/j.repc.2021.01.015
Popis: Introduction and objectives: As short-term mortality continues to decrease after myocardial infarction (MI), secondary prevention strategies attain increasing relevance. This study aimed at assessing the control of cardiovascular (CV) risk factors, including dyslipidemia, hypertension and diabetes, in a contemporary cohort of MI survivors who completed an exercise-based cardiac rehabilitation (EBCR) program. Methods: Observational, retrospective cohort study including patients admitted to a tertiary center with acute MI between November 2012 and April 2017, who completed a phase II EBCR program after discharge. Achievement of low-density lipoprotein (LD) cholesterol, blood pressure and HbA1c guideline recommended targets was assessed. Lipid profile parameters were assessed and compared at three time points (hospitalization, beginning and end of the program). Results: A total of 379 patients were included. Mean age was 58.8±10.6 years; 81% were male. Considering the European Society of Cardiology's guidelines on contemporary data collection, 61%, 87% and 71% achieved the recommended LDL cholesterol, blood pressure and HbA1c targets, respectively, at the end of the program. Combining all three risk factors, 42% achieved the recommended targets. High-sensitivity C-reactive protein decreased between the beginning and the end of the program [0.14 (0.08-0.29) mg/L to 0.12 (0.06-0.26) mg/L; p
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