Evidence map›Paper›PMID 32436589›Full record

ArticleCardiology journal2020

Secondary prevention of coronary artery disease in Poland. Results from the POLASPIRE survey.

Piotr Jankowski, Dariusz A Kosior, Paweł Sowa, Karolina Szóstak-Janiak, Paweł Kozieł, Agnieszka Krzykwa, Emilia Sawicka, Maciej Haberka, Małgorzata Setny, Karol Kamiński and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Cardiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  12. Distinct Features of Vascular Diseases in COVID-19.Journal of inflammation research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Piotr JankowskiI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland. piotrjankowski@interia.pl.
Dariusz A KosiorMossakowski Medical Research Centre, Polish Academy of Science, Warsaw, Poland.
Paweł SowaDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, Poland.
Karolina Szóstak-JaniakDepartment of Cardiology, Medical University of Silesia, Katowice, Poland.
Paweł KoziełI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Agnieszka KrzykwaDepartment of Cardiology and Hypertension with the Electrophysiological Lab, Central Research Hospital the Ministry of The Interior and Administration, Warsaw, Poland.
Emilia SawickaDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, Poland.
Maciej HaberkaDepartment of Cardiology, Medical University of Silesia, Katowice, Poland.
Małgorzata SetnyDepartment of Cardiology and Hypertension with the Electrophysiological Lab, Central Research Hospital the Ministry of The Interior and Administration, Warsaw, Poland.
Karol KamińskiDepartment of Population Medicine and Civilization Diseases Prevention, Medical University of Bialystok, Bialystok, Poland.
Zbigniew GąsiorDepartment of Cardiology, Medical University of Silesia, Katowice, Poland.
Aldona KubicaDepartment of Health Promotion, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz , Poland.
Dirk De BacquerDepartment of Public Health and Primary Care, Ghent University, Belgium.
Guy De BackerDepartment of Public Health and Primary Care, Ghent University, Belgium.
Kornelia KotsevaCardiovascular Medicine, National Heart and Lung Institute, Imperial College London and National Institute of Preventive Cardiology, National University of Ireland-Galway, Galway, Ireland.
David WoodCardiovascular Medicine, National Heart and Lung Institute, Imperial College London and National Institute of Preventive Cardiology, National University of Ireland-Galway, Galway, Ireland.
Andrzej PająkDepartment of Clinical Epidemiology and Population Studies, Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland.
Danuta CzarneckaI Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe highest priority in preventive cardiology is given to patients with established coronary artery disease (CAD). The aim of the study was to assess the current implementation of the guidelines for secondary prevention in everyday clinical practice by evaluating control of the main risk factors and the cardioprotective medication prescription rates in patients following hospitalization for CAD.

methodsFourteen departments of cardiology participated in the study. Patients (aged ≤ 80 years) hospitalized due an acute coronary syndrome or for a myocardial revascularization procedure were recruited and interviewed 6-18 months after the hospitalization.

resultsOverall, 947 patients were examined 6-18 months after hospitalization. The proportion of patients with high blood pressure (≥ 140/90 mmHg) was 42%, with high low-density lipoprotein cholesterol (LDL-C ≥ 1.8 mmol/L) 62%, and with high fasting glucose (≥ 7.0 mmol/L) 22%, 17% of participants were smokers and 42% were obese. The proportion of patients taking an antiplatelet agent 6-18 months after hospitalization was 93%, beta-blocker 89%, angiotensin converting enzyme inhibitor or sartan 86%, and a lipid-lowering drug 90%. Only 2.3% patients had controlled all the five main risk factors well (non-smoking, blood pressure < 140/90 mmHg, LDL-C < 1.8 mmol/L and glucose < 7.0 mmol/L, body mass index < 25 kg/m2), while 17.9% had 1 out of 5, 40.9% had 2 out of 5, and 29% had 3 out of 5 risk factors uncontrolled.

conclusionsThe documented multicenter survey provides evidence that there is considerable potential for further reductions of cardiovascular risk in CAD patients in Poland. A revision of the state funded cardiac prevention programs seems rational.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionFemaleHumansMaleMyocardial RevascularizationPolandRisk FactorsSecondary Preventioncoronary artery diseasehypercholesterolemiahypertensionrisk factorssecondary preventionsmoking

Identifiers

PMID32436589
PMCPMC8078981

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.