[Control of major cardiovascular risk factors of ischemic heart disease in secondary prevention in Aragón: COCINA study]

Hipertens Riesgo Vasc. 2016 Jan-Mar;33(1):7-13. doi: 10.1016/j.hipert.2015.09.001. Epub 2015 Nov 6.
[Article in Spanish]

Abstract

Ischemic heart disease remains a leading cause of death in Spain. According to the American Heart Association/American College of Cardiology (AHA/ACC) and European national societies, secondary prevention for these patients consists of control of major cardiovascular risk factors (CVRF) and suitable lifestyle habits.

Objective: To determine the degree of control of CVRF in the Aragonese population in secondary prevention.

Design: Cross-sectional study of a sample of 705 patients of Aragon who had suffered a cardiac event, selected opportunistically in consultations of family physicians participating in the 3 provinces of Aragon. The study was conducted in the second half of 2012.

Intervention: To measure the degree of control of different FRVC and lifestyle habits in this population.

Variables measured: Anthropometric, different cardiovascular risk factors, treatment and lifestyle.

Results: 58% of men and 52% of women met criteria for monitoring of measured variables. The best result was obtained with smoking cessation and the worst with BMI. Hypertension, Dyslipidemia and Diabetes Mellitus achieve poor control results.

Conclusion: The results show that the degree of control of CVRF is still low, especially in variables such as dyslipidemia and Diabetes Mellitus. Only 16.5% of control patients met criteria given the pharmacologically-modifiable cardiovascular risk factors.

Keywords: Cardiopatía isquémica; Cardiovascular risk factors; Estudio descriptivo; Factores de riesgo cardiovascular; Ischemic heart disease; Observational study; Prevención secundaria; Secondary prevention.

MeSH terms

  • Cardiovascular Diseases / epidemiology*
  • Cross-Sectional Studies
  • Dyslipidemias
  • Female
  • Humans
  • Hypertension / epidemiology
  • Male
  • Myocardial Ischemia / therapy
  • Risk
  • Risk Factors
  • Secondary Prevention*
  • Spain / epidemiology