Tokgözoğlu Lale, Kaya Ergün Bariş, Erol Cetin, Ergene Oktay
Hacettepe Universitesi Tip Fakültesi Kardiyoloji Anabilim Dali, Ankara, Turkey.
Turk Kardiyol Dern Ars. 2010 Apr;38(3):164-72.
The EUROASPIRE III survey was conducted in 2006-2007 in 22 countries in Europe (76 centers) to describe risk factors, lifestyle and therapeutic management of patients with coronary heart disease (CHD), compliance with current guidelines, and to document changes over time. This study aimed to assess the results of the EUROASPIRE III survey in terms of differences between Turkey and other European countries.
The results of the EUROASPIRE III survey were compared with those of 17 centers from Turkey. Consecutive patients with a diagnosis of CHD (669 medical records, 23.8% women) were identified retrospectively, of which 338 patients (50.5%) were followed-up, interviewed, and examined at least six months after the index event (acute coronary syndrome or interventional procedure).
Compared to the EUROASPIRE III data, recordings from Turkey's centers at discharge on classical risk factors did not exhibit remarkable differences; however, data on weight, height, waist circumference, lipid profile, glucose, and HbA1c measurements were more incomplete. In comparison to Europe population, the most important differences were observed in the higher rates of the following: young patients with myocardial infarction (>50 years, 20% vs. 12.7%), persistence in smoking (23.1% vs. 17.2%), immobility, low HDL-cholesterol (50.2% vs. 36.7%), insufficient follow-up by physicians after the index event (12% vs. 2.2%-except Turkey), and insufficient patient education.
The data from the Turkey arm of the survey show that efforts for cardiovascular disease prevention fall short of the targets, similar to Europe.
欧洲动脉粥样硬化风险调查III（EUROASPIRE III）于2006 - 2007年在欧洲22个国家（76个中心）开展，旨在描述冠心病（CHD）患者的危险因素、生活方式及治疗管理情况，了解其对现行指南的遵循情况，并记录随时间的变化。本研究旨在评估EUROASPIRE III调查中土耳其与其他欧洲国家之间的差异结果。
将EUROASPIRE III调查结果与来自土耳其的17个中心的结果进行比较。对确诊为CHD的连续患者（669份病历，女性占23.8%）进行回顾性识别，其中338例患者（50.5%）在索引事件（急性冠状动脉综合征或介入手术）后至少6个月接受了随访、访谈和检查。
与EUROASPIRE III数据相比，土耳其各中心出院时关于经典危险因素的记录没有显著差异；然而，关于体重、身高、腰围、血脂谱、血糖和糖化血红蛋白测量的数据更不完整。与欧洲人群相比，观察到以下方面的差异最为显著：年轻心肌梗死患者比例较高（>50岁，20%对12.7%）、持续吸烟（23.1%对17.2%）、缺乏运动、高密度脂蛋白胆固醇水平低（50.2%对36.7%）、索引事件后医生随访不足（12%对2.2% - 土耳其除外）以及患者教育不足。
该调查中土耳其部分的数据表明，与欧洲类似，心血管疾病预防工作未达目标。
