[Improvement of the prognosis of the acute coronary syndromes in Landes by lifestyle modifications].
The global coverage of the patients having had an acute coronary syndrome requires the modification of their life hygiene. Six hundred and sixty-seven consecutive victims of this syndrome benefited from clinics by a nurse, aiming at decreasing their risk factors and to modify their food customs. The initial interrogation allows the collection of these items and every answer is transformed into a digital score. The patients being seen again every 6 months in consultation, progress was observed, not only for the control of the risk factors (the score passes from 6.4 to 5.1 P < 0.001) but also for that of the food customs (the score passes from 1.5 to 6, P < 0.001). The evolution of the patients was compared as they are (group 1, N = 216) or not (group 2, N = 448) followed regularly in consultation, on the basis of a voluntary service, with a follow-up of 20, 8 months. Three patients were lost sight. The patients of the group 1 have fewer cardiovascular events (17 patients with event vs 82, P < 0.02), in particular a cardiac insufficiency (2 vs 28, P < 0.01) or the other events bound to the atherosclerosis (13 vs 55, P < 0.02), They are less often hospitalised (14 vs 70, P < 0.001). The deaths are less frequent in group 1 (Curve of Kaplan-Meyer: P < 0.01; RR = 0.23; IC = 0.09-0.58. The bad hygiene of life, which led to the arisen of an acute coronary syndrome, can be corrected and this is translated by an improved prognosis.
Baudet
M
M
PH, service de cardiologie, centre hospitalier général, boulevard Yves-du-Manoir, 40107 Dax, France. baudetm@ch-dax.fr
Hericotte
P
P
Daugareil
C
C
D000208:Acute Disease; D000368:Aged; D004032:Diet; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation*; D009723:Nurse-Patient Relations; D009747:Nutritional Physiological Phenomena; D010353:Patient Education as Topic; D011379:Prognosis; D013577:Syndrome