title: Risk factors and therapeutic coverage at 6 years in patients with previous myocardial infarction: the CASTUO study.
abstract: To determine the degree of risk factor control, the clinical symptoms and the therapeutic management of patients with a history of previous myocardial infarction.
  
  
  
  Cross-sectional study at 6 years of a first episode of acute myocardial infarction between 2000 and 2009, admitted at a hospital in the region of Extremadura (Spain). Of 2177 patients with this diagnosis, 1365 remained alive and therefore were included in the study.
  
  
  
  We conducted a person-to-person survey in 666 (48.8%) individuals and telephone survey in 437 (31.9%) individuals. The former are analysed. 130 were female (19.5%). The mean age was 67.4 years and the median time since the event was 5.8 (IQR 3.6-8.2) years. Active smokers made up 13.8%, low-density lipoprotein (LDL) cholesterol was ≥70 mg/dL: 82%, blood pressure ≥140/90 mm Hg (≥140/85 in diabetics): 49.8%, fasting glucose ≥126 mg/dL: 26%, heart rate 50-59 bpm: 60.7%, and obesity: 45.9%. Patients reported presenting angina comprised 22.4% and those with dyspnoea, 29.3%. Drug coverage was: 88.0% antiplatelet drugs, 86.5% statins, 75.6% β-blockers and 65.8% blockers of the renin-angiotensin system. Patients receiving all four types of drugs made up 41.9%, with only 3.0% having jointly controlled cholesterol, blood pressure, heart rate and glycaemia.
  
  
  
  LDL cholesterol, heart rate and blood pressure were risk factors with less control. More than 1/5 of patients had angina and more than 1/4, dyspnoea. Risk factor control and the clinical condition were far from optimal, as was drug coverage, although to a lesser degree.
authors.affiliation: Primary Care Unit "Villanueva Norte" , Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group , Villanueva de la Serena, Badajoz , Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Félix-Redondo
authors.affiliation: Primary Care Unit "Urbano I" , Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group . Mérida, Badajoz , Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Lozano Mera
authors.affiliation: Cardiac Hemodynamic Unit, Cardiology Department , Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group, "Santa Lucia" University Hospital , Cartagena, Murcia , Spain.
authors.forename: Luciano
authors.initials: L
authors.lastname: Consuegra-Sánchez
authors.affiliation: Cardiology Department , Don Benito-Villanueva de la Serena Hospital , Don Benito, Badajoz , Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Giménez Sáez
authors.affiliation: Cardiology Department , Don Benito-Villanueva de la Serena Hospital , Don Benito, Badajoz , Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Garcipérez de Vargas
authors.affiliation: Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain; Cardiology Department, Monteprincipe University Hospital (HM Hospitales), Boadilla del Monte, Madrid, Spain.
authors.forename: José María
authors.initials: JM
authors.lastname: Castellano Vázquez
authors.affiliation: Cardiology Department , Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group, Don Benito-Villanueva de la Serena Hospital , Don Benito, Badajoz , Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Fernández-Bergés
keywords: MYOCARDIAL ISCHAEMIA AND INFARCTION (IHD); QUALITY OF CARE AND OUTCOMES