Lifestyle modifications after acute coronary syndromes in a subset of the AMI-Florence 2 Registry.
OBJECTIVE
The aim of this study was to evaluate the adherence to recommendations for secondary prevention of cardiovascular diseases in patients with acute coronary syndromes (ACS).


RESULTS
Physical examination, a careful medical interview with assessment for lifestyle habits, adherence to pharmacological therapy and blood analyses were performed in 130 patients at the time of the acute event and after 6 months of follow-up. At follow-up examination, 7 patients persisted to smoke (5.4%), 41 (31.5%) continued to have high blood pressure, 34 (26.1%) had high levels of total cholesterol, 38 (29.2%) high levels of triglycerides, 64 (49.2%) high levels of LDL-cholesterol and 46 (35.4%) low levels of HDL-cholesterol. Despite all treatments no significant change occurred. A high percentage of patients (47%) reported a lower daily consumption of fruit and vegetables with respect to the recommended daily portions, nearly the whole population (92.3%) did not reach the recommended portions of legumes per week recommended, and a consistent percentage of patients (81.5%) did not consume fish twice a week, as recommended.


CONCLUSIONS
These findings demonstrate the difficulty of modifying the lifestyle habits in patients with ACS.
Department of Medical and Surgical Critical Care, Thrombosis Centre, University of Florence, Italy. francescosofi@gmail.com
Francesco
F
Sofi
Alessia
A
Fabbri
Rossella
R
Marcucci
Anna Maria
AM
Gori
Daniela
D
Balzi
Alessandro
A
Barchielli
Giovanni Maria
GM
Santoro
Niccolo
N
Marchionni
Rosanna
R
Abbate
Gian Franco
GF
Gensini
D054058:Acute Coronary Syndrome / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004032:Diet; D005260:Female; D015438:Health Behavior; D006801:Humans; D007558:Italy; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012042:Registries; D012307:Risk Factors; D055502:Secondary Prevention; D012907:Smoking / Q000453:epidemiology