title: Suboptimal risk factor control in patients undergoing elective coronary or peripheral percutaneous intervention.
abstract: BACKGROUND
  The American Heart Association recommends targeting 7 cardiovascular (CV) health metrics to reduce morbidity and mortality. Control of these targets in patients undergoing CV intervention is uncertain.
  
  
  METHODS
  We prospectively studied patients undergoing elective percutaneous coronary or peripheral intervention from November 2010 to May 2012. We recorded data on patient demographics, clinical characteristics, and social history. Risk factor control was categorized as ideal, intermediate, or poor according to the 7 American Heart Association-defined CV health metrics (smoking status, body mass index, physical activity, diet, cholesterol, blood pressure, and metabolic control). Linear regression model was used to evaluate the association between baseline characteristics and poor CV health.
  
  
  RESULTS
  Among 830 consecutive patients enrolled, mean age is 67.3 ± 10.8 years, 74.2% are male, and 62.1% are white. The adequacy of achievement of ideal CV health is suboptimal in our cohort; the mean number of ideal CV metrics is 2.15 ± 1.06. Less than 1 in 10 (9.7%) met ≥4 ideal CV health metrics. After multivariate analysis, male sex (P = .04), nonwhite race (P = .01), prior coronary artery disease (P < .01), prior peripheral arterial disease (P < .01), and history of depression (P = .01) were significantly associated with poor CV health.
  
  
  CONCLUSIONS
  Among patients referred for elective CV intervention, achievement of ideal CV health is poor. Elective interventions represent an opportunity to identify and target CV health for risk factor control and secondary prevention.
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY.
authors.forename: Lisa
authors.initials: L
authors.lastname: Tully
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: Eugenia
authors.initials: E
authors.lastname: Gianos
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY.
authors.forename: Anish
authors.initials: A
authors.lastname: Vani
authors.affiliation: Department of Population Health, Division of Biostatistics, New York University Langone Medical Center, New York, NY.
authors.forename: Yu
authors.initials: Y
authors.lastname: Guo
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY.
authors.forename: Revathi
authors.initials: R
authors.lastname: Balakrishnan
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: Arthur
authors.initials: A
authors.lastname: Schwartzbard
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY.
authors.forename: James
authors.initials: J
authors.lastname: Slater
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: Richard
authors.initials: R
authors.lastname: Stein
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: James
authors.initials: J
authors.lastname: Underberg
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: Howard
authors.initials: H
authors.lastname: Weintraub
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY.
authors.forename: Edward
authors.initials: E
authors.lastname: Fisher
authors.affiliation: Department of Medicine, Division of Cardiology, New York University School of Medicine, New York, NY; Center for the Prevention of Cardiovascular Disease, Marc and Ruti Bell Program in Vascular Biology, New York University School of Medicine, New York, NY. Electronic address: jeffrey.berger@nyumc.org.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Berger
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D015438:Health Behavior; D006331:Heart Diseases / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D062645:Percutaneous Coronary Intervention; D011446:Prospective Studies; D012307:Risk Factors