TY - JOUR
T1 - Comparison of primary versus secondary prevention of cardiovascular disease in patients with type2 diabetes
T2 - Focus on achievement of ABC goals
AU - Rabizadeh, Soghra
AU - Mansournia, Mohammad Ali
AU - Salehi, Salome Sadat
AU - Khaloo, Pegah
AU - Alemi, Hamid
AU - Mirbolouk, Hassan
AU - Blaha, Micheal Joseph
AU - Esteghamati, Alireza
AU - Nakhjavani, Manouchehr
N1 - Publisher Copyright:
© 2019
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Background: Primary and secondary prevention of cardiovascular disease is of utmost importance in the management of patients with diabetes. Objectives: We studied a group of Iranian patients with type2 diabetes to provide an overview of the current status of secondary prevention of cardiovascular disease in the Middle East. Methods: This is a cross-sectional study of 2029 Patients with type2 diabetes including 323 patients with coronary artery disease (CAD) were recruited. Achievement of goals in HbA1c (A), blood pressure (B) and LDL-cholesterol(C) was assessed. Results: The study showed 25.3% of CAD positive patients achieved HbA1c <7% compared to 30% in CAD negative patients. The achievement of blood pressure ≤140/90 mmHg was 53.2% and 52.8% in CAD positive and CAD negative patients respectively. There was no difference in the achievement of all three ABC goals between the two groups (p = 0.733). After logistic regression analysis, history of hypertension had the highest odds ratio for CAD. Conclusion: Although ABC control has an important impact on the prevention of cardiovascular outcomes, the ideal goal needs further efforts to be achieved.
AB - Background: Primary and secondary prevention of cardiovascular disease is of utmost importance in the management of patients with diabetes. Objectives: We studied a group of Iranian patients with type2 diabetes to provide an overview of the current status of secondary prevention of cardiovascular disease in the Middle East. Methods: This is a cross-sectional study of 2029 Patients with type2 diabetes including 323 patients with coronary artery disease (CAD) were recruited. Achievement of goals in HbA1c (A), blood pressure (B) and LDL-cholesterol(C) was assessed. Results: The study showed 25.3% of CAD positive patients achieved HbA1c <7% compared to 30% in CAD negative patients. The achievement of blood pressure ≤140/90 mmHg was 53.2% and 52.8% in CAD positive and CAD negative patients respectively. There was no difference in the achievement of all three ABC goals between the two groups (p = 0.733). After logistic regression analysis, history of hypertension had the highest odds ratio for CAD. Conclusion: Although ABC control has an important impact on the prevention of cardiovascular outcomes, the ideal goal needs further efforts to be achieved.
KW - Cardiovascular risk factors
KW - Coronary artery disease
KW - Primary prevention
KW - Secondary prevention
KW - Type 2 diabetes
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U2 - 10.1016/j.dsx.2019.03.043
DO - 10.1016/j.dsx.2019.03.043
M3 - Article
C2 - 31235086
AN - SCOPUS:85063607900
SN - 1871-4021
VL - 13
SP - 1733
EP - 1737
JO - Diabetes and Metabolic Syndrome: Clinical Research and Reviews
JF - Diabetes and Metabolic Syndrome: Clinical Research and Reviews
IS - 3
ER -