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    Wyświetlanie 1-9 z 9
    Tytuł:
    Patients with coronary artery disease and diabetes need improved management : a report from the EUROASPIRE IV survey : a registry from the EuroObservational Research Programme of the European Society of Cardiology
    Autorzy:
    Dolzhenko, Maryna
    Laucevicius, Aleksandras
    Jennings, Catriona
    Lovic, Dragan
    Pogosova, Nana
    Wood, David
    Oganov, Raphael
    Dilic, Mirza
    Vulic, Dusko
    De Sutter, Johan
    Castro Conde, Almudena
    De Bacquer, Guy
    Stork, Stefan
    Łysek, Radosław
    Schnell, Oliver
    Erglis, Andrejs
    Heuschmann, Peter
    Kotseva, Kornelia
    Gyberg, Viveca
    EUROASPIRE Investigators,
    Moore, David
    Ryden, Lars
    Reiner, Zeljko
    Tuomilehto, Jaakko
    Lehto, Seppo
    Fras, Zlatko
    Goudevenos, John
    Bruthans, Jan
    Wolfshaut-Wolak, Renata
    Gaita, Dan
    Pająk, Andrzej
    Amouyel, Philippe
    Tokgozoglu, Lale
    Nicolaides, Evagoras
    Brzezicka, Elżbieta
    Gotcheva, Nina
    Deckers, Jaap W.
    Mellbin, Linda
    Stagmo, Martin
    Milicic, Davor
    Cifkova, Renata
    De Bacquer, Dirk
    Misiowiec, Witosława
    Opis:
    Background In order to influence every day clinical practice professional organisations issue management guidelines. Cross-sectional surveys are used to evaluate the implementation of such guidelines. The present survey investigated screening for glucose perturbations in people with coronary artery disease and compared patients with known and newly detected type 2 diabetes with those without diabetes in terms of their life-style and pharmacological risk factor management in relation to contemporary European guidelines. Methods A total of 6187 patients (18–80 years) with coronary artery disease and known glycaemic status based on a self reported history of diabetes (previously known diabetes) or the results of an oral glucose tolerance test and HbA1c (no diabetes or newly diagnosed diabetes) were investigated in EUROASPIRE IV including patients in 24 European countries 2012–2013. The patients were interviewed and investigated in order to enable a comparison between their actual risk factor control with that recommended in current European management guidelines and the outcome in previously conducted surveys. Results A total of 2846 (46 %) patients had no diabetes, 1158 (19 %) newly diagnosed diabetes and 2183 (35 %) previously known diabetes. The combined use of all four cardioprotective drugs in these groups was 53, 55 and 60 %, respectively. A blood pressure target of <140/90 mmHg was achieved in 68, 61, 54 % and a LDL-cholesterol target of <1.8 mmol/L in 16, 18 and 28 %. Patients with newly diagnosed and previously known diabetes reached an HbA1c <7.0 % (53 mmol/mol) in 95 and 53 % and 11 % of those with previously known diabetes had an HbA1c >9.0 % (>75 mmol/mol). Of the patients with diabetes 69 % reported on low physical activity. The proportion of patients participating in cardiac rehabilitation programmes was low (≈40 %) and only 27 % of those with diabetes had attended diabetes schools. Compared with data from previous surveys the use of cardioprotective drugs had increased and more patients were achieving the risk factor treatment targets. Conclusions Despite advances in patient management there is further potential to improve both the detection and management of patients with diabetes and coronary artery disease.
    Dostawca treści:
    Repozytorium Uniwersytetu Jagiellońskiego
    Artykuł
      Wyświetlanie 1-9 z 9

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