title: [Is a patient's knowledge of cardiovascular risk factors better after the occurrence of a major ischemic event? Survey of 135 cases and 260 controls].
abstract: OBJECTIVE
  We hypothezised that patients (cases) who are hospitalized for a major ischemic event--myocardial infarction, stroke, decompensation of peripheral arterial disease--acquire better knowledge than a control population--atheromatous patients without a major ischemic event, patients consulting for a vein disease or a diabetes evaluation, and accompanists--about cardiovascular risk factors (smoking, hypertension, diabetes, dyslipidemia, obesity) and have a better understanding of the usefulness of making changes in their lifestyle (quit smoking, regular exercise, Mediterranean diet, low salt diet, weight control, diabetes care).
  
  
  METHODS
  A questionnaire was proposed at vascular surgery consultations and vascular and cardiac functional explorations, at the M Pavillon of the Édouard-Herriot hospital, Lyon, France. In five months, 395 questionnaires (135 cases and 260 controls) were analyzed.
  
  
  RESULTS
  The global knowledge score was statistically higher for cases than for controls (cases 3.23±1.81; controls 2.77±2.03; P=0.037). Cases did not abide by monitoring and dietary rules better, except as regards the management of diabetes. Regular physical activity was statistically more prevalent among controls than among cases. Cases mainly received their information from their doctors (general practitioner for 59% of controls and 78% of cases, cardiologist for 25% of controls and 57% of cases) while controls got their information more through magazines or advertising.
  
  
  CONCLUSIONS
  Our results show that after a major ischemic event, cases' knowledge of risk factors is better than the rest of the population without improved rules lifestyle changes. This suggests the usefulness of evaluating a therapeutic education program for atheromatous disease.
authors.affiliation: 76, avenue des Gobelins, 75013 Paris, France. Electronic address: annesophielensel@gmail.com.
authors.forename: A-S
authors.initials: AS
authors.lastname: Lensel
authors.forename: P
authors.initials: P
authors.lastname: Lermusiaux
authors.forename: C
authors.initials: C
authors.lastname: Boileau
authors.forename: P
authors.initials: P
authors.lastname: Feugier
authors.forename: A
authors.initials: A
authors.lastname: Sérusclat
authors.forename: Y
authors.initials: Y
authors.lastname: Zerbib
authors.forename: J
authors.initials: J
authors.lastname: Ninet
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control; D048909:Diabetes Complications; D004032:Diet / Q000009:adverse effects; D038441:Diet, Mediterranean; D004039:Diet, Sodium-Restricted; D050171:Dyslipidemias / Q000150:complications; D015444:Exercise; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000150:complications; D008019:Life Style; D009203:Myocardial Infarction; D009765:Obesity / Q000150:complications; D010353:Patient Education as Topic; D058729:Peripheral Arterial Disease; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D020521:Stroke; D011795:Surveys and Questionnaires
keywords: Adherence; Cardiovascular risk factor; Facteur de risque cardiovasculaire; Observance