The chronic ischaemic cardiovascular disease ...
Type de document :
Compte-rendu et recension critique d'ouvrage
DOI :
Titre :
The chronic ischaemic cardiovascular disease ESC Pilot Registry: Results of the six-month follow-up
Auteur(s) :
Komajda, Michel [Auteur]
Kerneis, Mathieu [Auteur]
Groupe Action
Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases [ICAN]
Institut de cardiologie [CHU Pitié-Salpêtrière]
Tavazzi, Luigi [Auteur]
Balanescu, Serban [Auteur]
Cosentino, Francesco [Auteur]
Cremonesi, Alberto [Auteur]
Ferrari, Roberto [Auteur]
Kownator, Serge [Auteur]
Szwed, Hanna [Auteur]
Mintale, Iveta [Auteur]
Olivari, Zoran [Auteur]
Rittger, Harald [Auteur]
Shlyakhto, Evgeny [Auteur]
Slapikas, Rimvydas [Auteur]
Steg, Philippe Gabriel [Auteur]
Valgimigli, Marco [Auteur]
van Belle, Eric [Auteur]
Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U1011 [RNMCD]
Tsioufis, Konstantinos [Auteur]
Majda, Wojciech [Auteur]
Laroche, Cécile [Auteur]
Maggioni, Aldo [Auteur]
Kerneis, Mathieu [Auteur]
Groupe Action
Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases [ICAN]
Institut de cardiologie [CHU Pitié-Salpêtrière]
Tavazzi, Luigi [Auteur]
Balanescu, Serban [Auteur]
Cosentino, Francesco [Auteur]
Cremonesi, Alberto [Auteur]
Ferrari, Roberto [Auteur]
Kownator, Serge [Auteur]
Szwed, Hanna [Auteur]
Mintale, Iveta [Auteur]
Olivari, Zoran [Auteur]
Rittger, Harald [Auteur]
Shlyakhto, Evgeny [Auteur]
Slapikas, Rimvydas [Auteur]
Steg, Philippe Gabriel [Auteur]
Valgimigli, Marco [Auteur]
van Belle, Eric [Auteur]
Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U1011 [RNMCD]
Tsioufis, Konstantinos [Auteur]
Majda, Wojciech [Auteur]
Laroche, Cécile [Auteur]
Maggioni, Aldo [Auteur]
Titre de la revue :
European journal of preventive cardiology
Pagination :
377-387
Éditeur :
Sage Publications
Date de publication :
2018-03
ISSN :
2047-4873
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Aim Chronic ischaemic cardiovascular disease (CICD) remains a leading cause of morbidity and mortality worldwide. The CICD Pilot Registry enrolled 2420 patients across 10 European Society of Cardiology countries prospectively ...
Lire la suite >Aim Chronic ischaemic cardiovascular disease (CICD) remains a leading cause of morbidity and mortality worldwide. The CICD Pilot Registry enrolled 2420 patients across 10 European Society of Cardiology countries prospectively to describe characteristics, management strategies and clinical outcomes in this setting. We report here the six-month outcomes. Methods and results From the overall population, 2203 patients were analysed at six months. Fifty-eight patients (2.6%) died after inclusion; 522 patients (23.7%) experienced all-cause hospitalisation or death. The rate of prescription of angiotensin-converting enzyme inhibitors, beta-blockers and aspirin was mildly decreased at six months (all P < 0.02). Patients who experienced all-cause hospitalisation or death were older, more often had a history of non-ST-segment elevation myocardial infarction, of chronic kidney disease, peripheral revascularisation and/or chronic obstructive pulmonary disease than those without events. Independent predictors of all-cause mortality/hospitalisation were age (hazard ratio (HR) 1.17, 95% confidence interval (CI) 1.07–1.27) per 10 years, and a history of previous peripheral revascularisation (HR 1.45, 95% CI 1.03–2.03), chronic kidney disease (HR 1.31, 95% CI 1.0–1.68) or chronic obstructive pulmonary disease (HR 1.42, 95% CI 1.06–1.91, all P < 0.05). We observed a higher rate of events in eastern, western and northern countries compared to southern countries and in cohort 1. Conclusion In this contemporary European registry of CICD patients, the rate of severe clinical outcomes at six months was high and was influenced by age, heart rate and comorbidities. The medical management of this condition remains suboptimal, emphasising the need for larger registries with long-term follow-up. Ad-hoc programmes aimed at implementing guidelines adherence and follow-up procedures are necessary, in order to improve quality of care and patient outcomes.Lire moins >
Lire la suite >Aim Chronic ischaemic cardiovascular disease (CICD) remains a leading cause of morbidity and mortality worldwide. The CICD Pilot Registry enrolled 2420 patients across 10 European Society of Cardiology countries prospectively to describe characteristics, management strategies and clinical outcomes in this setting. We report here the six-month outcomes. Methods and results From the overall population, 2203 patients were analysed at six months. Fifty-eight patients (2.6%) died after inclusion; 522 patients (23.7%) experienced all-cause hospitalisation or death. The rate of prescription of angiotensin-converting enzyme inhibitors, beta-blockers and aspirin was mildly decreased at six months (all P < 0.02). Patients who experienced all-cause hospitalisation or death were older, more often had a history of non-ST-segment elevation myocardial infarction, of chronic kidney disease, peripheral revascularisation and/or chronic obstructive pulmonary disease than those without events. Independent predictors of all-cause mortality/hospitalisation were age (hazard ratio (HR) 1.17, 95% confidence interval (CI) 1.07–1.27) per 10 years, and a history of previous peripheral revascularisation (HR 1.45, 95% CI 1.03–2.03), chronic kidney disease (HR 1.31, 95% CI 1.0–1.68) or chronic obstructive pulmonary disease (HR 1.42, 95% CI 1.06–1.91, all P < 0.05). We observed a higher rate of events in eastern, western and northern countries compared to southern countries and in cohort 1. Conclusion In this contemporary European registry of CICD patients, the rate of severe clinical outcomes at six months was high and was influenced by age, heart rate and comorbidities. The medical management of this condition remains suboptimal, emphasising the need for larger registries with long-term follow-up. Ad-hoc programmes aimed at implementing guidelines adherence and follow-up procedures are necessary, in order to improve quality of care and patient outcomes.Lire moins >
Langue :
Anglais
Vulgarisation :
Non
Source :
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