2026-08-05T16:12:47Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/72152024-09-27T08:40:02Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605
Repisalud
author
Félix-Redondo, Francisco Javier
author
Lozano Mera, Luis
author
Consuegra-Sánchez, Luciano
author
Giménez Sáez, Fernando
author
Garcipérez de Vargas, Francisco Javier
author
Castellano, Jose Maria
author
Fernández-Bergés, Daniel
funder
Ferrer
funder
Instituto de Salud Carlos III
funder
Ministerio de Sanidad, Consumo y Bienestar Social (España)
2019-02-22T11:34:24Z
2019-02-22T11:34:24Z
2016
Open Heart. 2016; 3(1):e000368
10.1136/openhrt-2015-000368
2053-3624
Open heart
27127637
http://hdl.handle.net/20.500.12105/7215
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.
eng
MYOCARDIAL ISCHAEMIA AND INFARCTION (IHD)
QUALITY OF CARE AND OUTCOMES
Risk factors and therapeutic coverage at 6 years in patients with previous myocardial infarction: the CASTUO study
journal article
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RiskFactorsAndTherapeuticCoverage_2016.pdf
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https://repisalud.isciii.es/bitstreams/df35a1fe-a5e2-4fa0-8562-b86983a38141/download
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text/plain
RiskFactorsAndTherapeuticCoverage_2016.pdf.txt