PP.02.18

Abstract

Objective: The aim of this study is to evaluate control of the cardiovascular risk factors in patients with previous cardiovascular disease Design and method: Observational and cross-sectional study. We analyzed 100 patients that presented a cardiovascular event in the previous 24 months. Subjects (18–75years of age) that suffered a stroke in the previous year were included. All patients signed an informed consent. Anamnesis and blood test was performed. 24 h Ambulatory blood pressure monitoring (SpaceLabs® Model90207) was practiced. We evaluated control level of their cardiovascular risk factors attending to recommendations provided by recent international guidelines (2013 ESH/ESC Guidelines for the management of arterial hypertension) Results: We studied 100 patients (70% males; mean age: 59.68 (± 9.5) years). Reason for admission was 48% ischemic heart disease, 47% stroke and 5% peripheral arterial ischemia. At discharge 49% were controlled in primary care and 45% in specialized medicine (25% cardiology, 8% neurology, 8% internal medicine and 4% nephrology). Statistical analysis showed a premature family ischemic heart disease in 34% of patients and 11% of patients had a family history of sudden death. Obesity was found in 33% of patients (BMI> 30 kg / m2); smoking in 14%; sedentary lifestyle in 50% and alcohol drinking in 50%. [Mean alcohol consumption was 10.33 g/day (SD: 14.0) in women and 28.37 g/day (SD: 41.1) in men]. The prevalence of hypertension was 61%, 56% dyslipemia and 27% diabetes. Objective levels (<70 mg/dL) of LDL cholesterol were not achieved in 79.8% of patients and 32.3% had an LDL-cholesterol above 100 mg/dL. 23% of patients had SBP24hr > 130mmHg; 8% DBP24hr> 80mmHg; 37% SBP-night> 120 mmHg and 23% DBP-night> 70mmHg. Patients with diabetes showed HbA1c> 7% in 19.4%. Conclusions: We observed no controlled cardiovascular risk factors in 3/4 of patients. Hypertension and dyslipemia were the most prevalent cardiovascular risk factors. High nocturnal blood pressure was found in 20% of patients. Promoting lifestyle changes (including healthy eating, physical activity and smoking cessation) should be the principal aim for prevention and/or management of cardiovascular disease.