Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Ujejskiego 75 Street, Bydgoszcz, 85-168, Poland.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Dębowa Street, Bydgoszcz, 85-626, Poland.
Ir J Med Sci. 2023 Oct;192(5):2117-2128. doi: 10.1007/s11845-023-03285-x. Epub 2023 Jan 27.
The study involved 905 patients after coronary interventions, qualified for invasive diagnosis due to symptomatic coronary disease.
The aim of this study was to check the implementation of recommendations on the control of risk factors for cardiovascular diseases in patients undergoing re-interventions.
Compared to elderly persons, younger people more often increased their physical activity (62 vs. 65 years, p = 0.009), stopped smoking (61 vs. 65 years, p < 0.001) and reduced alcohol consumption (62 vs. 65 years, p = 0.001). People with secondary and higher education increased their physical activity more often than those with primary education (51%, 31% vs. 23%, p = 0.006). Men more often than women decided to limit their alcohol consumption (48% vs. 37%, p = 0.007). Patients with a history of acute coronary syndrome were more likely to quit smoking and reduce their alcohol consumption than those without such a history (47% vs. 37%, p = 0.003 and 42% vs. 34%, p = 0.020, respectively). Only 2% of the subjects achieved the recommended LDL cholesterol values. Forty-eight percent were qualified for reinvasive procedures on the coronary arteries. Less than half of the patients undertook health-promoting behaviors that required modification of existing habits.
Age, gender, and education level influence pro-health behaviors. The majority of patients do not achieve the levels of LDL cholesterol and triglycerides consistent with the ESC guidelines in the secondary prevention of coronary disease. Inadequate check of risk factors may result in faster disease progression and coronary re-interventions.
本研究纳入 905 例因有症状性冠心病而符合有创诊断条件的经冠脉介入治疗后的患者。
本研究旨在检查在接受再介入治疗的患者中，控制心血管疾病危险因素的建议的执行情况。
与老年人相比，年轻人更经常增加体力活动（62 岁比 65 岁，p=0.009）、戒烟（61 岁比 65 岁，p<0.001）和减少饮酒（62 岁比 65 岁，p=0.001）。接受过中等和高等教育的人比接受过初等教育的人更经常增加体力活动（51%、31%比 23%，p=0.006）。男性比女性更有可能决定限制饮酒（48%比 37%，p=0.007）。有急性冠脉综合征病史的患者比没有该病史的患者更有可能戒烟和减少饮酒（47%比 37%，p=0.003 和 42%比 34%，p=0.020）。只有 2%的患者达到了推荐的 LDL 胆固醇值。48%的患者符合再次进行冠状动脉有创性检查的条件。不到一半的患者采取了需要改变现有习惯的促进健康的行为。
年龄、性别和教育水平影响健康行为。大多数患者在冠心病的二级预防中没有达到与 ESC 指南一致的 LDL 胆固醇和甘油三酯水平。对危险因素的检查不足可能导致疾病进展更快和再次进行冠状动脉介入治疗。
