title: [Control of coronary risk factors in secondary prevention: PRESENAP study].
abstract: OBJECTIVE
  Evaluate the overall achievement of goals in the control of risk factors in secondary prevention in patients who have suffered a coronary event and are followed up in primary care centers.
  
  
  METHODS
  Descriptive, transversal, multicenter study with sampling by consecutive inclusion of the first 5 patients attending the doctor's office who had suffered a coronary event 6 months to 10 years previously. The targets for control were: blood pressure < 140/90 mmHg in the general population and < 130/85 mmHg in diabetics; LDL-cholesterol < 100 mg/dl and no smoking habit.
  
  
  RESULTS
  8,817 patients (73.7% males) were included, with a mean (SD) age of 65.4 (10.3) years; 76.6% were hypertensive, 73.4% dyslipidemic and 32.7% diabetics; 60.2% achieved target blood pressure; 26.3% achieved LDL-cholesterol <100 mg/dl and 11.4% continued smoking; 16.4% fulfilled all recommendations. Factors independently related with good control were a lower age, male sex, patients who had been admitted with acute coronary syndrome without ST elevation (OR = 1.39; CI 95%, 1.01-1.93; p = 0.04) or for revascularization (OR = 1.37; CI 95%; 1.12-1.67; p = 0.002), patients with peripheral arterial disease (OR = 1.43; CI 95%, 1.11-1.84; p = 0.005) and when the physicians proposed suitable objectives (OR = 1.90; CI 95%, 1.48-2.44; p < 0.0001). Control was poorer in hypertensive or dyslipidemic patients.
  
  
  CONCLUSIONS
  Overall control of risk factors in secondary prevention of coronary disease is achieved in one in six patients attending primary care.
authors.affiliation: Centro de Salud El Cristo, Oviedo, Asturias, España. stranchei@medynet.com
authors.forename: Salvador
authors.initials: S
authors.lastname: Tranche Iparraguirre
authors.forename: Isidro
authors.initials: I
authors.lastname: López Rodríguez
authors.forename: José María
authors.initials: JM
authors.lastname: Mostaza Prieto
authors.forename: Begoña
authors.initials: B
authors.lastname: Soler López
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Mantilla Morató
authors.forename: Manuel
authors.initials: M
authors.lastname: Taboada Taboada
authors.forename: Carlos
authors.initials: C
authors.lastname: Lahoz Rallo
authors.forename: Luís
authors.initials: L
authors.lastname: Martín-Jadraque
authors.forename: Beatriz
authors.initials: B
authors.lastname: Monteiro
mesh_terms: D000367:Age Factors; D000368:Aged; D001794:Blood Pressure; D016009:Chi-Square Distribution; D003327:Coronary Disease / Q000517:prevention & control*; D018592:Cross-Over Studies; D003627:Data Interpretation, Statistical; D048909:Diabetes Complications / Q000628:therapy; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy; D050171:Dyslipidemias / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D000074606:Smoking Prevention; D013030:Spain / Q000453:epidemiology