ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK

Catriona S. Jennings (Lead / Corresponding author), Kornelia Kotseva, Paul Bassett, Agnieszka Adamska, David Wood, ASPIRE-3-PREVENT Investigators

Research output: Contribution to journalArticle

9 Downloads (Pure)

Abstract

Objective To quantify the implementation of the third Joint British Societies' Consensus Recommendations for the Prevention of Cardiovascular Disease (JBS3) after coronary event. Methods Using 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. Results 3926 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). Conclusions Patients 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.

Original languageEnglish
Article numbere001196
Pages (from-to)1-10
Number of pages10
JournalOpen Heart
Volume7
Issue number1
Early online date29 Apr 2020
DOIs
Publication statusPublished - 29 Apr 2020

Keywords

  • cardiac rehabilitation
  • delivery of care
  • epidemiology
  • hypertension
  • smoking

Fingerprint Dive into the research topics of 'ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK'. Together they form a unique fingerprint.

  • Cite this

    Jennings, C. S., Kotseva, K., Bassett, P., Adamska, A., Wood, D., & ASPIRE-3-PREVENT Investigators (2020). ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK. Open Heart, 7(1), 1-10. [e001196]. https://doi.org/10.1136/openhrt-2019-001196