Variation in secondary prevention of coronary heart disease: the INTERASPIRE study

作者：John W. McEvoy, Catriona Jennings, Kornelia Kotseva, Dirk De Bacquer, Guy De Backer, Iris Erlund, Terhi Vihervaara, Gregory Y.H. Lip, Kausik K Ray, Lars Rydén, Ana Abreu, Wael Almahmeed, Ade Meidian Ambari, Junbo Ge, Hosam Hasan‐Ali, Yong Huo, Piotr Jankowski, Rodney M Jimenez, Yong Li, Ahmad Syadi Mahmood Zuhdi, Abel Makubi, Amam Mbakwem, Lilian Mbau, José L. Estrada, Okechukwu S. Ogah, Elijah Ogola, Adalberto Quintero–Baiz, Mahmoud U. Sani, María Inés Sosa Liprandi, Jack Wei Chieh Tan, Miguel Urina‐Triana, Tee Joo Yeo, Sandra Ganly, Agnieszka Adamska, David M. Wood · 发表于：European Heart Journal · 年份：2024 · DOI：10.1093/eurheartj/ehae558 · 被引用次数：83 · 研究领域：Cardiac Health and Mental Health、Cardiovascular Health and Risk Factors、Health Promotion and Cardiovascular Prevention

BACKGROUND AND AIMS: INTERASPIRE is an international study of coronary heart disease (CHD) patients, designed to measure if guideline standards for secondary prevention and cardiac rehabilitation are being achieved in a timely manner. METHODS: Between 2020 and 2023, adults hospitalized in the preceding 6-24 months with incident or recurrent CHD were sampled in 14 countries from all 6 World Health Organization regions and invited for a standardized interview and examination. Direct age and sex standardization was used for country-level prevalence estimation. RESULTS: Overall, 4548 (21.1% female) CHD patients were interviewed a median of 1.05 (interquartile range .76-1.45) years after index hospitalization. Among all participants, 24.6% were obese (40.7% centrally). Only 38.6% achieved a blood pressure (BP) < 130/80 mmHg and 16.6% a LDL cholesterol (LDL-C) of <1.4 mmol/L. Of those smoking at hospitalization, 48% persisted at interview. Of those with known diabetes, 55.2% achieved glycated haemoglobin (HbA1c) of <7.0%. A further 9.8% had undetected diabetes and 26.9% impaired glucose tolerance. Females were less likely to achieve the targets: BP (females 36.8%, males 38.9%), LDL-C (females 12.0%, males 17.9%), and HbA1c in diabetes (females 47.7%, males 57.5%). Overall, just 9.0% (inter-country range 3.8%-20.0%) reported attending cardiac rehabilitation and 1.0% (inter-country range .0%-2.4%) achieved the study definition of optimal guideline adherence. CONCLUSIONS: INTERASPIRE ...