[Secondary prevention of ischemic heart disease in primary care (PRESENCIAP)].

OBJECTIVES

To find the degree of recording and control of cardiovascular risk factors among patients with chronic ischaemic cardiopathy and the use of drug therapies of proven efficacy on these patients.

DESIGN

Descriptive cross-sectional study.

SETTING

Two teaching health districts in Girona (one urban and one urban-rural).

PARTICIPANTS

There was an exhaustive sampling of the histories of all patients diagnosed with chronic ischaemic cardiopathy (n = 183).

MEASUREMENTS AND MAIN RESULTS

50% of the patients did not smoke, 58% did not consume alcohol and 45% took physical exercise. For 25%, 30% and 38%, respectively, these activities had not been recorded over the previous year. In 17% of cases blood pressure had not been recorded in the previous year; 61% had diastolic pressures < 90 mmHg, and 40% had systolic pressure < 140 mmHg. Total cholesterol determination was lacking in 28% of cases. 22% of patients had LDL-cholesterol levels below 130 mg/dl. 50% of patients had anti-aggregate or anti-coagulation treatment and 22% received beta-blocker treatment.

CONCLUSIONS

There is deficient recording of cardiovascular risk factors in patients with chronic coronary ischaemia and low prescription of those drugs that reduce morbidity and mortality. An improvement plan is needed in order to achieve better monitoring of these patients.