Evaluación a corto plazo del control de los factores de riesgo y de la prescripción terapéutica en prevención secundaria de enfermedad cardiovascular

Short-term evaluation of risk factor control and therapeutic prescription in secondary prevention of cardiovascular diseases

C. Ciria de Pabloa, A. Pizarro Portilloa, M Á. Moreno Palancoa, C. Sánchez Luisa, P. Ibáñez Sanza, C. Suárez Fernándeza

a Servicio de Medicina Interna. Hospital Universitario de La Princesa. Madrid.

Introduction. Quantify risk factor control and compliance of present therapeutic recommendations in the two months following an acute myocardial infarction (AMI) or ischemic stroke. Material and methods. Cross-sectional, descriptive study of risk factors and treatments prescribed on discharge after AMI or stroke. Results. A total of 68% of 122 patients (65.6% AMI; 22.1% women; mean age: 64.9), had controlled BP; 70.1% BMI < 30 kg/m2; 54.1% LDL-cholesterol < 100 mg/dl. Controlled BP (78.7% versus 50%) and adequate LDL-cholesterol (62.3% versus 20.5%) were greater after AMI than after stroke (p < 0.001). ACEI/ARA II prescribed after AMI: 30% (p < 0.001). After AMI, 26.2% without beta blocker (only 8.8% contraindicated). HbA1c < 7% in 55.5% of diabetics; BP control inferior to non-diabetics (p < 0.001). Discussion. Short term control of the risk factors after cardiovascular episode and prescription on hospital discharge are improvable, above all after a stroke.

Keywords:

prevention, risk factor, cardiovascular diseases