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A Pilot Croatian Survey of Risk Factor (CRO-SURF) Management in Patients with Cardiovascular Disease
Ivan Pećin
Davor Miličić
Hrvoje Jurin
Željko Reiner
Sažetak
A pilot survey was performed to determine the presence of known risk factors for cardiovascular disease in Croatian
patients with diagnosed coronary heart disease (CHD) using a new questionnaire. The idea was to test this new and very
simple questionnaire but also to compare the data collected in this pilot survey with the results of the last Croatian national
survey (TASPIC-CRO V) and so to obtain the information whether secondary prevention has improved between
2003 and 2010. 122 patients with established CHD (88 men, 34 women, mean age 66.3 years) treated in Zagreb University
Hospital Center were included. Data collection was based on filling the SURF questionnaire right after the clinical
exam or later using review of medical records. Patients were hospitalized because of CABG (1%), PCI (8%), ACS (35%) or
chronic stable angina (56%). The history of arterial hypertension had 95% patients (however, on admission mean systolic
pressure was 130.1 mmHg, diastolic 76.8 mmHg), 90% had dyslipidaemia ( total cholesterol <4.5 mmol/L had 43%;
<4.0 mmol/L 33%; LDL-cholesterol <2.5 mmol/L 49%; <2.0 mmol/L 32%; HDL>1.2 mmol/L (women) or >1.0 mmol/L
(men) had 67%), 25% had diabetes which was poorly regulated (mean HbA1c 8.2%), 18% were active smokers. After discharge
only 24% performed cardiac rehabilitation. Mean body mass index of the patients was 28.3 kg/m2 (32% were
obese, 72% overweight). Compared to TASPIC-CRO V there was lower usage of aspirin than recommended on discharge.
This was also true for statin therapy. More patients were taking beta blockers, calcium antagonists and diuretics than 7
years ago. This pilot survey showed that CRO-SURF questionnaire is short, quick, effective and simple to use. It is a
good and cost effective tool to collect data on CVD risk factors and their management. The results obtained by using it indicate
that there is still a high prevalence of modifiable risk factors in Croatian patients with CHD.
Ključne riječi
prevention; cardiovascular disease; risk factors; arterial hypertension; dyslipidemia
Hrčak ID:
84771
URI
Datum izdavanja:
10.7.2012.
Posjeta: 962 *