[Control of coronary risk factors in secondary prevention: PRESENAP study].
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.
Tranche Iparraguirre
Salvador
S
Centro de Salud El Cristo, Oviedo, Asturias, España. stranchei@medynet.com
López Rodríguez
Isidro
I
Mostaza Prieto
José María
JM
Soler López
Begoña
B
Mantilla Morató
María Teresa
MT
Taboada Taboada
Manuel
M
Lahoz Rallo
Carlos
C
Martín-Jadraque
Luís
L
Monteiro
Beatriz
B
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