Being Old Is Like to Have More Vascular Risk?: PP.19.233

Abstract

In our investigation we estimated spreading of main IHD modifiable risk factors in patients with acute coronary syndrome, living on the territory of Tumen region, and there compliance to therapy. 69 patients under age of 70 were included (average age 63 AE 0,5, 60% were men). 50,7 % were smokers at admittance to the hospital, or a month before the hospitalization; 12,5% among them were women. 21,7% had diabetes melitus and almost half of them hadn't known about there diagnosis and had been taking no hypoglycemic therapy. Glycosilated hemoglobin determination showed that only 19,7% of patients with diabetes controlled there glycemia for the previous 3 months (HBA1< 6,5%), and 33,8% of theese patients had HBA1>8%. 47,8 % of all patients were impaired glucose tolerance. Among all patients with hypertension (84,2%) only 17,1% effectively controlled there blood pressure. Despite high popularity in the last years of hypolipidemic therapy, 84,2% of our patients had total cholesterol above recommended level, while 14% were very hypercholesterolic (> 8 mmol/l). Only 16,4% gained LDLP target rates. More than a half (52,3%) of included into investigation were centrally obese and had exessive body mass.Compliance to therapy of the patients whose diagnosis of IHD had already been established before inclusion into investigation was rather poor. 54,1% of patients were using antiaggregates and long-term nitrates. Less preferable were ACEI/ARB and beta-blockers (47,9% and 43,8% respectevely). Calcium channel blockers and diuretic were taking 23% of patients. And only 10 used statins. In 6,25% of cases acute coronary syndrome was the result of clopidogrel intake cessation within 12 months after stenting with drug-eluting stents. 8,7% of patients were taking no medical therapy, having known of there diagnosis and having acute coronary syndrome in history.Our results showed that prevalent risk factor in Tumen rigion is hypercholesterolemia, central obesity and glucose metabolism disorders. This says about necessity of hypolipidemic therapy compliance intencification and timely detection of early glucose metabolism disorders.Background: Control of hypertension (HT) in Polish general population is poor. However, achievement of treatment goal for hypertension is considered as a basis of secondary prevention of coronary heart disease (CAD).