dc.contributor.author | Félix-Redondo, Francisco Javier | |
dc.contributor.author | Lozano Mera, Luis | |
dc.contributor.author | Consuegra-Sánchez, Luciano | |
dc.contributor.author | Giménez Sáez, Fernando | |
dc.contributor.author | Garcipérez de Vargas, Francisco Javier | |
dc.contributor.author | Castellano, Jose Maria | |
dc.contributor.author | Fernández-Bergés, Daniel | |
dc.date.accessioned | 2019-02-22T11:34:24Z | |
dc.date.available | 2019-02-22T11:34:24Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Open Heart. 2016; 3(1):e000368 | es_ES |
dc.identifier.issn | 2053-3624 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/7215 | |
dc.description.abstract | OBJECTIVES: To determine the degree of risk factor control, the clinical symptoms and the therapeutic management of patients with a history of previous myocardial infarction. METHODS: Cross-sectional study at 6 years of a first episode of acute myocardial infarction between 2000 and 2009, admitted at a hospital in the region of Extremadura (Spain). Of 2177 patients with this diagnosis, 1365 remained alive and therefore were included in the study. RESULTS: We conducted a person-to-person survey in 666 (48.8%) individuals and telephone survey in 437 (31.9%) individuals. The former are analysed. 130 were female (19.5%). The mean age was 67.4 years and the median time since the event was 5.8 (IQR 3.6-8.2) years. Active smokers made up 13.8%, low-density lipoprotein (LDL) cholesterol was ≥70 mg/dL: 82%, blood pressure ≥140/90 mm Hg (≥140/85 in diabetics): 49.8%, fasting glucose ≥126 mg/dL: 26%, heart rate 50-59 bpm: 60.7%, and obesity: 45.9%. Patients reported presenting angina comprised 22.4% and those with dyspnoea, 29.3%. Drug coverage was: 88.0% antiplatelet drugs, 86.5% statins, 75.6% β-blockers and 65.8% blockers of the renin-angiotensin system. Patients receiving all four types of drugs made up 41.9%, with only 3.0% having jointly controlled cholesterol, blood pressure, heart rate and glycaemia. CONCLUSIONS: LDL cholesterol, heart rate and blood pressure were risk factors with less control. More than 1/5 of patients had angina and more than 1/4, dyspnoea. Risk factor control and the clinical condition were far from optimal, as was drug coverage, although to a lesser degree. | es_ES |
dc.description.sponsorship | Grants from Health Institute Carlos III, Ministry of Health, Government of Spain: Project n° Exp: PI 10/02153 and Emerging Group n° Exp: GEMER 07/046 | es_ES |
dc.language.iso | eng | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject | MYOCARDIAL ISCHAEMIA AND INFARCTION (IHD) | es_ES |
dc.subject | QUALITY OF CARE AND OUTCOMES | es_ES |
dc.title | Risk factors and therapeutic coverage at 6 years in patients with previous myocardial infarction: the CASTUO study | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Atribución-NoComercial 4.0 Internacional | * |
dc.identifier.pubmedID | 27127637 | es_ES |
dc.format.volume | 3 | es_ES |
dc.format.number | 1 | es_ES |
dc.format.page | e000368 | es_ES |
dc.identifier.doi | 10.1136/openhrt-2015-000368 | es_ES |
dc.contributor.funder | Ferrer | |
dc.contributor.funder | Instituto de Salud Carlos III | |
dc.contributor.funder | Ministerio de Sanidad, Consumo y Bienestar Social (España) | |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.journal | Open heart | es_ES |
dc.repisalud.orgCNIC | CNIC::Grupos de investigación::Imagen Cardiovascular y Estudios Poblacionales | es_ES |
dc.repisalud.institucion | CNIC | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/ES/PI10/02153 | es_ES |
dc.rights.accessRights | open access | es_ES |