July 1, 2007
Prevalence, awareness and treatment of cardiovascular risk factors in patients at high risk of atherothrombosis in Japan.
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Discussion
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Implication
Observational study reveals undertreatment of cardiovascular risk factors in patients with atherothrombosis, highlighting critical opportunities for preventative care optimization.
Key Points
- To evaluate the prevalence, clinical profile, and medical management of cardiovascular risk factors in high-risk patients with atherothrombotic disease.
- Analyzed 5,193 outpatients in Japan enrolled as part of the worldwide REACH Registry cohort of nearly 68,000 individuals.
- Categorized participants into those with established vascular disease (symptomatic) across coronary, cerebral, or peripheral vascular beds and those with multiple risk factors only (asymptomatic).
- Established vascular disease was present in 83.7% of patients, with 14.0% exhibiting lesions across multiple vascular beds and 0.8% having lesions in cerebral, coronary, and peripheral arteries simultaneously.
- Obesity was identified in 10.6% of patients by National Cholesterol Education Program criteria and 42.1% by Japanese diagnostic criteria.
- Medical therapy was suboptimal: only 37.7% of diabetic patients used antidiabetic agents, 79.6% of hypertensive patients received antihypertensives, 74.0% received antiplatelet drugs, and use of statins (44.1%) and aspirin (54.7%) remained lower than global registry averages.
Cite This Study
Yamazaki et al. (2007) studied this question.