Lifestyle and risk factor management in people at high risk of cardiovascular disease. A report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV cross-sectional survey in 14 European regions

Authors: Kornelia Kotseva, Dirk De Bacquer, Guy De Backer, Lars Rydén, Catriona Jennings, Viveca Gyberg, Ana Abreu, Carlos Aguíar, Almudena Castro Conde, Kairat Davletov, Mirza Dilić, М. М. Долженко, Dan Gaiță, B. Georgiev, Nina Gotcheva, Nebojša Lalić, Aleksandras Laucevičius, Dragan Lović, S. Mancas, Davor Miličić, Р. Г. Оганов, Andrzej Pająk, Nana Pogosova, Željko Reiner, Duško Vulić, David Wood, on behalf of the EUROASPIRE investi - European Journal of Preventive Cardiology 2016 cited by 198

) and 63.9% centrally obese (waist circumference of ≥88 cm for women, ≥102 cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90 mm Hg (<140/80 mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5 mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. Conclusion The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk.