• C Brotons, A Maiques, J Mostaza, X Pintó, J Vilaseca, and Estudio EMOSCOL.
• EAP Sardenya, Servei Català de la Salut, Barcelona, Spain. cbrotons@eapsardenya.net
• Aten Primaria. 2004 Jun 30; 34 (2): 818681-6.

ObjectiveTo assess the implementation of pharmacological and non-pharmacological treatment in coronary patients followed in primary care.DesignObservational prospective study of 6 months of follow-up.SettingPrimary care centers all over Spain.ParticipantsMen and women, between 18 and 75 years old, diagnosed in the last 3 years of myocardial infarction, stable angina, and unstable angina, with cholesterol levels higher than the lipid therapeutical goal recommended by the Guía de Prevención Cardiovascular del Programa de Actividades y de Promoción de la Salud de la Sociedad Española de Medicina de Familia y Comunitaria. Patients were recruited between february of 1998 and july of 1999, and were followed for 6 months.Outcome MeasurementsTotal cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, weight, height, body mass index, systolic and diastolic blood pressure (SBP and DBP).Results4464 patients were included, mean age of 59 years (range, 20-96), 60% men. At 6 months, 66% of the patients had a cholesterol level higher than 200 mg/dL, 55% had LDL-C higher than 130 mg/dL, and 11% had triglycerides higher than 190 mg/dL. At 6 months a reduction of 70 mg/dL of total cholesterol, of 52 mg/dL of triglycerides, and of 51 mg/dL of LDL-C, and an increase of 4 mg/dL of HDL-Cholesterol was observed. Also, SBP and DBP were reduced 5 mm Hg and 3 mm Hg.ConclusionsAlthough a clear improved was observed in the control of lipids and other risk factors, there is still a considerable potential to raise standards in secondary prevention of coronary patients followed in primary care concerning control of cardiovascular risk factors, particularly total cholesterol and lipid fractions.

23 keywords...

hide…