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[阿拉贡地区缺血性心脏病二级预防中主要心血管危险因素的控制:COCINA研究]

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

作者信息

Cucalon Arenal J M, Buisac Ramón C, Marin Ibáñez A, Castan Ruiz S, Blay Cortes M G, Barrasa Villar J I

机构信息

Centro de Salud Alfajarín, Zaragoza, España.

Unidad Docente Especialista en Medicina de Familia Área 3, Zaragoza, España.

出版信息

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

Abstract

UNLABELLED

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.

摘要

未标注

缺血性心脏病仍是西班牙主要的死亡原因。根据美国心脏协会/美国心脏病学会(AHA/ACC)以及欧洲各国学会的观点,这些患者的二级预防包括控制主要心血管危险因素(CVRF)以及养成适宜的生活习惯。

目的

确定阿拉贡地区人群二级预防中CVRF的控制程度。

设计

对705名阿拉贡地区曾发生心脏事件的患者进行横断面研究,这些患者是在参与阿拉贡三省家庭医生会诊时随机选取的。研究于2012年下半年进行。

干预

测量该人群中不同FRVC及生活习惯的控制程度。

测量变量

人体测量学指标、不同心血管危险因素、治疗情况及生活方式。

结果

58%的男性和52%的女性符合所测变量监测标准。戒烟方面取得的结果最佳,而体重指数(BMI)方面最差。高血压、血脂异常和糖尿病的控制效果不佳。

结论

结果表明,CVRF的控制程度仍然较低,尤其是在血脂异常和糖尿病等变量方面。在可通过药物调节的心血管危险因素方面,只有16.5%的受控制患者符合标准。

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