Residual risk of cardiovascular mortality in patients with coronary heart disease: The EUROASPIRE Risk Categories

Bacquer, Dirk De; Dallongeville, Jean; Kotseva, Kornelia; Cooney, Marie Therese; Pająk, Andrzej; Deckers, Jaap W.; Mayer, Otto; Vanuzzo, Diego; Lehto, Seppo; Fras, Zlatko; Östör, Erika; Ambrosio, Giovanni B.; Backer, Guy De; Wood, David; Keil, Ulrich; Sans, Susana; Graham, Ian; Pyörälà, Kalevi

doi:10.1016/j.ijcard.2012.10.051

Cited by 30 publications

(24 citation statements)

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“…Obesity and central obesity have increased together with diabetes mellitus across the 3 surveys with an increased risk of recurrent macrovascular disease, microvascular disease, and further reduction in life expectancy. In a mortality follow-up of the EUROASPIRE I cohort of 5,216 coronary patients, the independent modifiable risk factors associated with an increased risk of dying were smoking, cholesterol, and poor glucose control [23]. The potential to reduce that risk in diabetes is considerable by combining lifestyle and risk factors control and evidencebased medications [24,25].…”

Section: Discussionmentioning

confidence: 99%

Time Trends in Lifestyle, Risk Factor Control, and Use of Evidence-Based Medications in Patients With Coronary Heart Disease in Europe: Results From 3 EUROASPIRE Surveys, 1999–2013

Kotseva

Bacquer

Jennings

et al. 2017

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100

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Lifestyle habits have deteriorated over time with increases in obesity, central obesity, and diabetes and stagnating rates of persistent smoking. Although blood pressure and lipid management improved, they are still not optimally controlled and the use of evidence-based medications appears to have stalled apart from the increased use of high-intensity statins. These results underline the importance of offering coronary patients access to modern preventive cardiology programs.

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Section: Discussionmentioning

confidence: 99%

Time Trends in Lifestyle, Risk Factor Control, and Use of Evidence-Based Medications in Patients With Coronary Heart Disease in Europe: Results From 3 EUROASPIRE Surveys, 1999–2013

Kotseva

Bacquer

Jennings

et al. 2017

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100

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“…In recent years, rapid development in pharmacological as well as invasive CAD treatment methods has been observed. Nevertheless, the results of a mortality follow-up of the European Action on Secondary Prevention through Intervention to Reduce Events (EUROASPIRE) I-III surveys indicate that risk factors remain independent predictors of cardiovascular mortality in CAD patients [4]. The conclusion from another 5-year follow-up survey is that smoking cessation, providing advice on diet and ensuring optimal pharmacological treatment are crucial factors in reducing mortality in patients who have suffered myocardial infarction (MI) [5].…”

Section: Introductionmentioning

confidence: 99%

Secondary prevention of coronary artery disease in contemporary clinical practice

et al. 2015

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“…Chronic back pain is one of the most frequently occurring diseases of modern civilization; estimated 1-month prevalence is more than 20% globally [2]. Lifestyle-related risk factors, such as physical inactivity and unhealthy eating, are associated with a higher risk for these chronic diseases [3-7]. Thus, lifestyle change is a central aim in secondary prevention.…”

Section: Introductionmentioning

confidence: 99%

A Web-Based Peer-Modeling Intervention Aimed at Lifestyle Changes in Patients With Coronary Heart Disease and Chronic Back Pain: Sequential Controlled Trial

Schweier¹,

Romppel²,

Richter³

et al. 2014

J Med Internet Res

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BackgroundTraditional secondary prevention programs often fail to produce sustainable behavioral changes in everyday life. Peer-modeling interventions and integration of peer experiences in health education are a promising way to improve long-term effects in behavior modification. However, effects of peer support modeling on behavioral change have not been evaluated yet. Therefore, we implemented and evaluated a website featuring patient narratives about successful lifestyle changes.ObjectiveOur aim is to examine the effects of using Web-based patient narratives about successful lifestyle change on improvements in physical activity and eating behavior for patients with coronary heart disease and chronic back pain 3 months after participation in a rehabilitation program.MethodsThe lebensstil-aendern (“lifestyle-change”) website is a nonrestricted, no-cost, German language website that provides more than 1000 video, audio, and text clips from interviews with people with coronary heart disease and chronic back pain. To test efficacy, we conducted a sequential controlled trial and recruited patients with coronary heart disease and chronic back pain from 7 inpatient rehabilitation centers in Germany. The intervention group attended a presentation on the website; the control group did not. Physical activity and eating behavior were assessed by questionnaire during the rehabilitation program and 12 weeks later. Analyses were conducted based on an intention-to-treat and an as-treated protocol.ResultsA total of 699 patients were enrolled and 571 cases were included in the analyses (control: n=313, intervention: n=258; female: 51.1%, 292/571; age: mean 53.2, SD 8.6 years; chronic back pain: 62.5%, 357/571). Website usage in the intervention group was 46.1% (119/258). In total, 141 trial participants used the website. Independent t tests based on the intention-to-treat protocol only demonstrated nonsignificant trends in behavioral change related to physical activity and eating behavior. Multivariate regression analyses confirmed belonging to the intervention group was an independent predictor of self-reported improvements in physical activity regularity (β=.09, P=.03) and using less fat for cooking (β=.09, P=.04). In independent t tests based on the as-treated protocol, website use was associated with higher self-reported improvements in integrating physical activity into daily routine (d=0.22, P=.02), in physical activity regularity (d=0.23, P=.02), and in using less fat for cooking (d=0.21, P=.03). Multivariate regression analyses revealed that using the website at least 3 times was the only factor associated with improved lifestyle behaviors.ConclusionsUsage of the lebensstil-aendern website corresponds to more positive lifestyle changes. However, as-treated analyses do not allow for differentiating between causal effects and selection bias. Despite these limitations, the trial indicates that more than occasional website usage is necessary to reach dose-response efficacy. Therefore, future studies should concentrate on s...

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Residual risk of cardiovascular mortality in patients with coronary heart disease: The EUROASPIRE Risk Categories

Cited by 30 publications

References 15 publications

Time Trends in Lifestyle, Risk Factor Control, and Use of Evidence-Based Medications in Patients With Coronary Heart Disease in Europe: Results From 3 EUROASPIRE Surveys, 1999–2013

Time Trends in Lifestyle, Risk Factor Control, and Use of Evidence-Based Medications in Patients With Coronary Heart Disease in Europe: Results From 3 EUROASPIRE Surveys, 1999–2013

Secondary prevention of coronary artery disease in contemporary clinical practice

A Web-Based Peer-Modeling Intervention Aimed at Lifestyle Changes in Patients With Coronary Heart Disease and Chronic Back Pain: Sequential Controlled Trial

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