Nine-year trends in achievement of risk factor goals in the US and European outpatients with cardiovascular disease

Background Although control of major cardiovascular risk factors (hypertension, hyperlipidemia, diabetes) has been the centerpiece of guidelines for the prevention of cardiovascular disease, periodic surveys suggest adherence to recommendations and achievement of goals is poor. Few data are availabl...

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Bibliographic Details
Published in:The American heart journal 2008-10, Vol.156 (4), p.719-727
Main Authors: Steinberg, Benjamin A., MD, Bhatt, Deepak L., MD, Mehta, Shamir, MD, Poole-Wilson, Philip A., MD, O'Hagan, Philip, BSc, Montalescot, Gilles, MD, PhD, Ballantyne, Christie M., MD, Cannon, Christopher P., MD
Format: Article
Language:English
Subjects:
Angina pectoris
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Cholesterol
Diabetic Angiopathies - epidemiology
Diabetic Angiopathies - prevention & control
Drug therapy
Europe - epidemiology
Female
Glycated Hemoglobin A - analysis
Guideline Adherence - trends
Health Behavior
Health Status
Health Surveys
Heart attacks
Humans
Hyperlipidemias - epidemiology
Hyperlipidemias - prevention & control
Hypertension - epidemiology
Hypertension - prevention & control
Male
Medical sciences
Middle Aged
Overweight - epidemiology
Practice Guidelines as Topic
Risk Factors
Smoking - epidemiology
United States - epidemiology
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Summary:Background Although control of major cardiovascular risk factors (hypertension, hyperlipidemia, diabetes) has been the centerpiece of guidelines for the prevention of cardiovascular disease, periodic surveys suggest adherence to recommendations and achievement of goals is poor. Few data are available in outpatients, and no studies describe trends in meeting clinical targets. Methods A survey of outpatients with cardiovascular disease or risk factors was conducted annually, with a unique cohort each year, and included medical history, clinical data, and pharmacologic therapies. Data from 1998 to 2006 in the United States, United Kingdom, France, Italy, Spain, and Germany were analyzed for achievement of evidenced-based goals for hypertension, hyperlipidemia, and diabetes. Results Over 9 years, 102,318 patients were entered, with a mean age of 60 years, half were male, and each had at least one cardiovascular disease risk factor. In 1998, nearly half of patients in the United States were not at their target for blood pressure or low-density lipoprotein cholesterol. In Europe,
ISSN:0002-8703
1097-6744
DOI:10.1016/j.ahj.2008.05.020