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[Prognostic impact of cardiovascular risk factors in patients admitted for acute coronary syndrome]

J E Puche1, M Iturregui-Guevara2, R Vázquez3

  • 1Servicio de Cardiología, Hospital Universitario Puerta del Mar, Cádiz, España; Servicio de Cardiología, Hospital Costa del Sol, Marbella, España.

Hipertension Y Riesgo Vascular
|October 23, 2022
PubMed

Insights

Improving control of cardiovascular risk factors (CVRF) significantly benefits patients post-acute coronary syndrome. Poorly controlled CVRF, especially hypertension, increases major adverse cardiovascular events, highlighting the need for enhanced prevention strategies.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Context:

  • Cardiovascular prevention focuses on controlling cardiovascular risk factors (CVRF).
  • Recent studies show disappointing outcomes despite prevention efforts.
  • The impact of CVRF control on post-acute coronary syndrome prognosis requires further analysis.

Purpose:

  • To analyze the impact of different CVRFs and their control levels on patient prognosis after acute coronary syndrome.
  • To identify specific CVRFs with the greatest impact on cardiovascular events.

Summary:

  • A study of 1,689 acute coronary syndrome patients revealed predominantly male participants with obesity, smoking history, and poor CVRF control (hypertension, diabetes, dyslipidemia).
  • Underutilization of beneficial drugs for CVRF management was noted.
  • A direct correlation exists between the number of CVRFs and major adverse cardiovascular events at 2 years, with hypertension being the most impactful.
  • The SARS-CoV-2 lockdown negatively affected CVRF control and cardiovascular outcomes.

Impact:

  • Findings underscore the potential for prognostic improvement through better CVRF control in ischemic heart disease patients.
  • Highlights the critical need for implementing effective cardiovascular prevention campaigns.
Abstract

Keywords:
Cardiovascular risk factorsConfinamientoCoronavirusDiabetesDislipidemiaDyslipidaemiaFactores de riesgo cardiovascularHipertensión arterialHypertensionLockdown

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