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ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK
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ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK
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Journal Article
ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK
2020
Overview
ObjectiveTo quantify the implementation of the third Joint British Societies’ Consensus Recommendations for the Prevention of Cardiovascular Disease (JBS3) after coronary event.MethodsUsing a cross-sectional survey design, patients were consecutively identified in 36 specialist and district general hospitals between 6 months and 2 years, after acute coronary syndrome or revascularisation procedure and invited to a research interview. Outcomes included JBS3 lifestyle, risk factor and therapeutic management goals. Data were collected using standardised methods and instruments by trained study nurses. Blood was analysed in a central laboratory and a glucose tolerance test was performed.Results3926 eligible patients were invited to participate and 1177 (23.3% women) were interviewed (30% response). 12.5% were from black and minority ethnic groups. 45% were persistent smokers, 36% obese, 52.9% centrally obese, 52% inactive; 30% had a blood pressure >140/90 mm Hg, 54% non-high-density lipoprotein ≥2.5 mmol/L and 44.3% had new dysglycaemia. Prescribing was highest for antiplatelets (94%) and statins (85%). 81% were advised to attend cardiac rehabilitation (86% <60 years vs 79% ≥60 years; 82% men vs 77% women; 93% coronary artery bypass grafting vs 59% unstable angina), 85% attended if advised; 69% attended overall. Attenders were significantly younger (p=0.03) and women were less likely to attend (p=0.03).ConclusionsPatients with coronary heart disease (CHD) are not being adequately managed after event with preventive measures. They require a structured preventive cardiology programme addressing lifestyle, risk factor management and adherence to cardioprotective medications to achieve the standards set by the British Association for Cardiovascular Prevention and Rehabilitation and JBS3 guidelines.
Publisher
BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Cardiac Rehabilitation - trends
/ Cardiac Risk Factors and Prevention
/ Cardiovascular Agents - therapeutic use
/ Coronary Disease - diagnosis
/ Coronary Disease - physiopathology
/ Diabetes
/ Fasting
/ Female
/ Glucose
/ Guideline Adherence - trends
/ Healthcare Disparities - trends
/ Humans
/ Male
/ Patients
/ Plasma
/ Practice Guidelines as Topic
/ Practice Patterns, Physicians' - trends
/ R&D
