Repositorio
Institucional

Neira V, Victor

Potthoff N, Marcelo

Quininir S, Luis

Lopez R, Gabriel

Stockins F, Benjamin

Castillo B, Carlos

Lanas Z, Fernando

Logro de metas de prevención secundaria, prescripción farmacológica y eventos cardiovasculares mayores en pacientes con enfermedad coronaria

Achievement of cardiovascular prevention goals, pharmacologic prescription and major cardiovascular events among patients with coronary disease

SOC MEDICA SANTIAGO

REVISTA MEDICA DE CHILE

es

Background: Implementation of health programs to reduce cardiovascular risk, are needed for secondary prevention of cardiovascular diseases. Aim: To evaluate achievements of secondary prevention goals, pharmacologic prescription and major cardiovascular events in patients with coronary artery disease. Material and Methods: Patients who had a first event of acute coronary syndrome, angioplasty or revascularization surgery, between January 2008 and June 2010, were contacted for a clinical and laboratory evaluation between June and October 2011. Results: Seven hundred and two medical records were reviewed and 245 eligible patients were identified. Of these, we assessed 202 patients aged 64 10 years (70% males). Sixty seven percent had two or more cardiovascular risk factors. A goal of HDL cholesterol level over 40 mg/dL was achieved in 91% of patients, smoking cessation in 84% and a total cholesterol <200 mg/dL in 66%. A blood pressure below 130/85 mm Hg was achieved in 30% of patients, a normal BMI in 19% and LDL cholesterol levels below 70 mg/dL in 18%. At the moment of assessment, 87% were using aspirin, 78% statins, 74% angiotensin converting enzyme inhibitors or angiotensin II receptor antagonists and 66% were using beta-blockers. Twenty two percent of patients had a major cardiovascular event during the follow up, which lasted 28 8 months. Conclusions: A low percentage of cardiovascular goals achievement was observed in this sample of patients, with a high prevalence of overweight and obesity. A high percentage quit smoking after their first cardiovascular event. Despite the high percentage of drug prescription, hypertension and dyslipidemia were not fully controlled.

Artículo original

10.4067/S0034-98872013000700006

pdf

Coronary artery disease

Secondary prevention

MYOCARDIAL-INFARCTION

RISK-FACTORS

VASCULAR EVENTS

HEART-DISEASE

OUTCOMES

IMPACT

Enfermedad de las arterias coronarias

prevención secundaria

INFARTO DE MIOCARDIO

FACTORES DE RIESGO

EVENTOS VASCULARES

CARDIOPATÍA

RESULTADOS

IMPACTO

Coronary artery disease

Secondary prevention

MYOCARDIAL-INFARCTION

RISK-FACTORS

VASCULAR EVENTS

HEART-DISEASE

OUTCOMES

IMPACT

Enfermedad de las arterias coronarias

prevención secundaria

INFARTO DE MIOCARDIO

FACTORES DE RIESGO

EVENTOS VASCULARES

CARDIOPATÍA

RESULTADOS

IMPACTO

Se ha producido un error. Inténtalo de nuevo.

Logro de metas de prevención secundaria, prescripción farmacológica y eventos cardiovasculares mayores en pacientes con enfermedad coronaria

REVISTA MEDICA DE CHILE

dorada

verde

acceso abierto

CC BY

PMID 24356735

es

Artículo original

versión publicada

SOC MEDICA SANTIAGO

0034-9887

870

878

Medicina general e interna

Medicine, General & Internal

pdf

WOS:000323798900006