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dc.contributor.authorFélix-Redondo, Francisco Javier
dc.contributor.authorLozano Mera, Luis
dc.contributor.authorConsuegra-Sánchez, Luciano
dc.contributor.authorGiménez Sáez, Fernando
dc.contributor.authorGarcipérez de Vargas, Francisco Javier
dc.contributor.authorCastellano, Jose Maria 
dc.contributor.authorFernández-Bergés, Daniel
dc.date.accessioned2019-02-22T11:34:24Z
dc.date.available2019-02-22T11:34:24Z
dc.date.issued2016
dc.identifier.citationOpen Heart. 2016; 3(1):e000368es_ES
dc.identifier.issn2053-3624es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/7215
dc.description.abstractOBJECTIVES: 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.sponsorshipGrants from Health Institute Carlos III, Ministry of Health, Government of Spain: Project n° Exp: PI 10/02153 and Emerging Group n° Exp: GEMER 07/046es_ES
dc.language.isoenges_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectMYOCARDIAL ISCHAEMIA AND INFARCTION (IHD)es_ES
dc.subjectQUALITY OF CARE AND OUTCOMESes_ES
dc.titleRisk factors and therapeutic coverage at 6 years in patients with previous myocardial infarction: the CASTUO studyes_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución-NoComercial 4.0 Internacional*
dc.identifier.pubmedID27127637es_ES
dc.format.volume3es_ES
dc.format.number1es_ES
dc.format.pagee000368es_ES
dc.identifier.doi10.1136/openhrt-2015-000368es_ES
dc.contributor.funderFerrer
dc.contributor.funderInstituto de Salud Carlos III - ISCIII
dc.contributor.funderMinisterio de Sanidad, Consumo y Bienestar Social (España)
dc.description.peerreviewedes_ES
dc.identifier.journalOpen heartes_ES
dc.repisalud.orgCNICCNIC::Grupos de investigación::Imagen Cardiovascular y Estudios Poblacionaleses_ES
dc.repisalud.institucionCNICes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI10/02153es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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