Between 1999 and 2013, secondary prevention in European coronary patients showed concerning deteriorations in lifestyle factors and stalled medication uptake, highlighting a critical need for improved preventive cardiology programs.
Lifestyle habits have deteriorated over time with increases in obesity, central obesity, and diabetes and stagnating rates of persistent smoking. Although blood pressure and lipid management improved, they are still not optimally controlled and the use of evidence-based medications appears to have stalled apart from the increased use of high-intensity statins. These results underline the importance of offering coronary patients access to modern preventive cardiology programs.
Kotseva et al. (Wed,) studied this question.