Naslov
Risk profile of the cardiac rehabilitation patients in the Croatian centre of excellence for cardiac rehabilitation

Autori
V Persic, D Raljevic , D Travica Samsa , R Miskulin , I Brajkovic , M Komosar Cvetkovic, I Kuzet Miokovic, K Knezevic, M Njegovan, A Trobonjaca, P Soric

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Skup
EuroPrevent 2019.

Mjesto i datum
Lisabon, Portugal, 11.04.2019. - 13.04.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
cardiac rehabilitation, risk profile, Croatia

Sažetak
Cardiovascular Rehabilitation Background : to report on results of the current status of risk factor control, lifestyle factors, and use of cardio protective medications in coronary artery disease patients regarding to the European Guidelines on cardiovascular disease prevention in clinical practice 2016. Methods: The sample was collected in 2016 from patients in line with their CR appointments ordet, which in Croatia by its regulations lasts 21 days. Patients having the diagnosis of coronary artery diseases (N=314) were examined after their coronary event. Patient’s data were collected from the medical history record, and blood samples collected and pressure measured. Ergospirometry and echocardiography were performed. Hospital Anxiety and Depression Scale was completed. Frequencies of patients' risk factors were categorized by the 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Results : Average age of patients was 60(10) years with BMI of 28.6 kg/m2. Almost half (47%) of the patients were smokers. The average systolic and diastolic blood pressure was 121.8/76 mmHg. Around sixty percent of patients had AMI with the ST segment elevation, 20% had AMI without of ST segment elevation. 138(44%) patients were admitted after coronary artery bypass surgery. One third of patients were diabetic and 81% had hypertension, majority was either overweight or obese (80%). Optimal blood pressure level was measured in 38% of patients, 11% of the patients had blood pressure level between hypertension grade I-III. Almost quarter of the patients had cholesterol values =4.5 mmol/l ; 34% of the patients achieve target LDL cholesterol level <1.8 mmol/L. High risk HDL values was measured in 45% of patients and almost 30% percent of them had high risk triglycerides values. More than 80% of diabetic patients had inadequate control of diabetes. The ejection fraction of the left ventricle was moderately lower in value and VO2max of the patients was 19.0 (ml/kg/min). Anxiety and depression scores were elevated in 20% and 13% of patients respectively. Conclusions: Primary and secondary prevention of cardiovascular diseases requires a systematic, multidisciplinary approach involving all stakeholders, healthcare workers in primary and secondary health care, public health workers, and of course, the mandatory involvement of state health insurance investing in prevention directed towards life style changes that still remain permissible for risk behavior and persistent risk factors such as smoking, obesity, inadequate control of lipid parameters and diabetes consistent with the recommended target values of the European Guidelines for the Prevention of Cardiovascular Diseases in 2016.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA