Risk factors in cardiovascular patients:Challenges and opportunities to improve secondary prevention  

作　　者：Rahima Gabulova Anna Marzà-Florensa Uzeyir Rahimov Mahluga Isayeva Shahana Alasgarli Afag Musayeva Sona Gahramanova Firdovsi Ibrahimov Farid Aliyev Galib Imanov Rahmana Rasulova Ilonca Vaartjes Kerstin Klipstein-Grobusch Ian Graham Diederick E Grobbee 

机构地区：[1]Teaching-Therapeutical Hospital,Azerbaijan Medical University,Baku AZ1022,Azerbaijan [2]Julius Center for Health Sciences and Primary Care,University Medical Center Utrecht,Utrecht 3508 GA,Netherlands [3]Department of Cardiology,Baku Medical Plaza,Baku AZ1014,Azerbaijan [4]Department of CHD and Arrhythmias,Scientific-Research Institute of Cardiology,Baku AZ1072,Azerbaijan [5]Department of Cardiology,Central Clinic Hospital,Baku AZ1006,Azerbaijan [6]Heart Center,Baku Health Center,Baku AZ1072,Azerbaijan [7]Teaching-Surgical Hospital,Azerbaijan Medical University,Baku AZ1022,Azerbaijan [8]Department of Public Health,Azerbaijan Medical University,Baku AZ1022,Azerbaijan [9]Department of Cardiology,Trinity College Dublin,Dublin Dublin-2,Ireland

出　　处：《World Journal of Cardiology》2023年第7期342-353,共12页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Effective management of major cardiovascular risk factors is of great importance to reduce mortality from cardiovascular disease(CVD).The Survey of Risk Factors in Coronary Heart Disease(SURF CHD)II study is a clinical audit of the recording and management of CHD risk factors.It was developed in collaboration with the European Association of Preventive Cardiology and the European Society of Cardiology(ESC).Previous studies have shown that control of major cardiovascular risk factors in patients with established atherosclerotic CVD is generally inadequate.Azerbaijan is a country in the South Caucasus,a region at a very high risk for CVD.AIM To assess adherence to ESC recommendations for secondary prevention of CVD based on the measurement of both modifiable major risk factors and their therapeutic management in patients with confirmed CHD at different hospitals in Baku(Azerbaijan).METHODS Six tertiary health care centers participated in the SURF CHD II study between 2019 and 2021.Information on demographics,risk factors,physical and laboratory data,and medications was collected using a standard questionnaire in consecutive patients aged≥18 years with established CHD during outpatient visits.Data from 687 patients(mean age 59.6±9.58 years;24.9%female)were included in the study.RESULTS Only 15.1%of participants were involved in cardiac rehabilitation programs.The rate of uncontrolled risk factors was high:Systolic blood pressure(BP)(SBP)(54.6%),low-density lipoprotein cholesterol(LDL-C)(86.8%),diabetes mellitus(DM)(60.6%),as well as overweight(66.6%)and obesity(25%).In addition,significant differences in the prevalence and control of some risk factors[smoking,body mass index(BMI),waist circumference,blood glucose(BG),and SBP]between female and male participants were found.The cardiovascular health index score(CHIS)was calculated from the six risk factors:Non-or ex-smoker,BMI<25 kg/m2,moderate/vigorous physical activity,controlled BP(<140/90 mmHg;140/80 mmHg for patients with DM),controlled LDL-C(<70 mg

关 键 词：Coronary heart disease Cardiovascular risk factors Secondary prevention Clinical practice guidelines Clinical audit Survey of risk factors 

分 类 号：R54[医药卫生—心血管疾病]