title: Trends in Risk Factors and Treatments in Patients With Stable Ischemic Heart Disease Seen at Cardiology Clinics Between 2006 and 2014.
abstract: OBJECTIVE
  Chronic ischemic heart disease is the most prevalent of all cardiovascular diseases. Patients are at high risk of complications. In recent decades, changes may have occurred in the clinical characteristics of the disease, its treatment and control of risk factors.
  
  
  METHODS
  A direct comparison of 2 national registries of patients with chronic ischemic heart disease carried out in 2006 (n=1583) and 2014 (n=1110).
  
  
  RESULTS
  We observed statistically significant differences between the 2 registries, with a higher percentage of men and smokers in the 2014 registry, but a lower prevalence of diabetes mellitus and hypertension. Heart failure and stroke were more prevalent in the 2006 registry. Patients in the 2014 registry had better results for lipid profile, blood glucose, creatinine, and glomerular filtration rate. We observed higher use of recommended drugs for secondary prevention and an increased percentage of patients receiving optimal medical therapy, from 32.5% to 49.5% (P<.01). Use of high-intensity statin doses also increased from 10.5% to 42.8% (P<.01). We found better control of some risk factors (improved dyslipidemia, heart rate, and blood glucose in patients with diabetes) but worse blood pressure control.
  
  
  CONCLUSIONS
  The clinical profile of patients with chronic ischemic heart disease is similar in the 2 registries. There has been an improvement in patients' medical therapy and dyslipidemia control, blood glucose, and heart rate, but there is still much room for improvement in the control of other cardiovascular risk factors.
authors.affiliation: Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain. Electronic address: acorderofort@gmail.com.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cordero
authors.affiliation: Departamento de Cardiología, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Galve
authors.affiliation: Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Bertomeu-Martínez
authors.affiliation: Departamento de Cardiología, Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Héctor
authors.initials: H
authors.lastname: Bueno
authors.affiliation: Departamento de Cardiología, Hospital General de Valencia, Valencia, Spain.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Fácila
authors.affiliation: Departamento de Cardiología, Policlínica Gipuzkoa, San Sebastián, Guipúzcoa, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Alegría
authors.affiliation: Departamento de Cardiología, Hospital de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Cequier
authors.affiliation: Departamento Médico, Laboratorios Ferrer, Barcelona, Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Ruiz
authors.affiliation: Departamento de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
authors.forename: José Ramón
authors.initials: JR
authors.lastname: González-Juanatey
mesh_terms: D000368:Aged; D002908:Chronic Disease; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009017:Morbidity / Q000639:trends; D017202:Myocardial Ischemia / Q000453:epidemiology* / Q000628:therapy*; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology
keywords: Cardiopatía isquémica crónica; Chronic ischemic heart disease; Dislipemia; Dyslipidemia; Factores de riesgo; Hipertensión; Hypertension; Medical therapy; Risk factors; Tratamiento médico