Abstract
Background. Cardiometabolic risk factors significantly accelerate the progression of coronary artery disease (CAD); however, whether CAD patients in South China are aware of the prevalence of these risk factors is not clear yet. Methods. The study consisted of 2312 in-admission CAD patients from 2008 to 2011 in South China. Disease history including hypertension, dyslipidemia, and diabetes was relied on patients' self-reported records. Physical and clinical examinations were tested to assess the real prevalence of the cardiometabolic risk factors. Results. 57.9% of CAD patients had more than 3 cardiometabolic risk factors in terms of the metabolic syndrome. The self-known and real prevalence of hypertension, diabetes, and dyslipidemia were 56.6%, 28.3%, and 25.1% and 91.3%, 40.9%, and 92.0%, respectively. The awareness rates were 64.4%, 66.3%, and 28.5% for hypertension, diabetes, and dyslipidemia. The prevalence of cardiometabolic risk factors was significantly different among gender and among disease status. Conclusions. Most CAD patients in South China had more than three cardiometabolic risk factors. However, the awareness rate of cardiometabolic diseases was low, especially for dyslipidemia. Strategies of routine physical examination programs are needed for the early detection and treatment of cardiometabolic risk factors in order to prevent CAD progression and prognosis.
Highlights
Coronary artery disease (CAD), one of the major causes of morbidity and mortality worldwide [1], had become a public health problem in China during the past few decades
Patients have at least one of these risk factors [5], but the awareness rates of these risk diseases are very low among the Chinese population
The purpose of the present study is to investigate the prevalence and awareness of cardiometabolic diseases—hypertension, diabetes, and dyslipidemia—in South Chinese coronary artery disease (CAD) patients
Summary
Coronary artery disease (CAD), one of the major causes of morbidity and mortality worldwide [1], had become a public health problem in China during the past few decades. More than 80% of CAD patients have at least one of these risk factors [5], but the awareness rates of these risk diseases are very low among the Chinese population. There are sparse data on prevalence and awareness of all the cardiometabolic risk factors in CAD population in developing countries. These risk factors affect how many CAD patients in South China and patients’ awareness of these problems are not known. Cardiometabolic risk factors significantly accelerate the progression of coronary artery disease (CAD); whether CAD patients in South China are aware of the prevalence of these risk factors is not clear yet. Strategies of routine physical examination programs are needed for the early detection and treatment of cardiometabolic risk factors in order to prevent CAD progression and prognosis
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