[Short-term evaluation of risk factor control and therapeutic prescription in secondary prevention of cardiovascular diseases].
BACKGROUND
Quantify risk factor control and compliance of present therapeutic recommendations in the two months following an acute myocardial infarction (AMI) or ischemic stroke.


METHODS
Cross-sectional, descriptive study of risk factors and treatments prescribed on discharge after AMI or stroke.


RESULTS
A total of 68% of 122 patients (65.6% AMI; 22.1% women; mean age: 64.9), had controlled BP; 70.1% BMI < 30 kg/m2; 54.1% LDL-cholesterol < 100 mg/dl. Controlled BP (78.7% versus 50%) and adequate LDL-cholesterol (62.3% versus 20.5%) were greater after AMI than after stroke (p < 0.001). ACEI/ARA II prescribed after AMI: 30% (p < 0.001). After AMI, 26.2% without beta blocker (only 8.8% contraindicated). HbA1c < 7% in 55.5% of diabetics; BP control inferior to non-diabetics (p < 0.001).


CONCLUSIONS
Short term control of the risk factors after cardiovascular episode and prescription on hospital discharge are improvable, above all after a stroke.
Ciria de Pablo
C
C
Servicio de Medicina Interna, Hospital Universitario de La Princesa, Madrid. cciria2002@yahoo.es
Pizarro Portillo
A
A
Moreno Palanco
M A
MA
Sánchez Luis
C
C
Ibáñez Sanz
P
P
Suárez Fernández
C
C
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012307:Risk Factors; D020521:Stroke / Q000628:therapy*