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

• Tipo: Artigo em Revista Científica Nacional
• Data: 2021

Autores

Silva, V (Autor) Outra; Vilela, EM (Autor) Outra; Campos, L (Autor) Outra; Miranda, F (Autor) Outra; Torres, S (Autor) Outra; Joao, A (Autor) Outra; Teixeira, M (Autor) Outra; Braga, P (Autor) Outra; Fontes-Carvalho R (Autor) FMUP

Revista

Título: Revista Portuguesa de Cardiologia

ISSN: 0870-2551

Editora: Sociedade Portuguesa De Cardiologia

Indexação

ISI Web of Knowledge - 4 Citações

Scopus - 5 Citações

Outras Informações

ID Authenticus: P-00V-P58

DOI: 10.1016/j.repc.2021.01.015

Abstract (EN): 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<0.001]. Conclusion: Despite contemporary management strategies, including enrollment in a structured EBCR program, a substantial number of patients presented suboptimal control of CV risk factors. Considering the dyslipidemia, hypertension and diabetes results, less than half of the enrolled individuals achieved the recommended targets. These findings highlight a pivotal unmet need which could be particularly relevant in improving CV outcomes by enhancingsecondary prevention profiles. (C) 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 10