EUROASPIRE-IV: European Society of Cardiology study of lifestyle, risk factors, and treatment approaches in patients with coronary artery disease: Data from Turkey [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(2): 134-144 | DOI: 10.5543/tkda.2016.82352

EUROASPIRE-IV: European Society of Cardiology study of lifestyle, risk factors, and treatment approaches in patients with coronary artery disease: Data from Turkey

Lale Tokgözoğlu1, Meral Kayıkçıoğlu2, Servet Altay3, Sinan Aydoğdu4, Cem Barçın5, Cem Bostan6, Hüseyin Altuğ Çakmak7, Alp Burak Çatakoğlu8, Samim Emet9, Oktay Ergene10, Ali Kemal Kalkan11, Barış Kaya1, Cansın Tulunay Kaya12, Cihangir Kaymaz13, Nevrez Koylan14, Hakan Kültürsay2, Aytekin Oğuz15, Ebru Özpelit16, Serkan Ünlü17
1Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
2Ege University Faculty of Medicine, Department of Cardiology, Izmir, Turkey
3Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
4Turkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
5Gulhane Military Medical Academy, Department of Cardiology, Ankara, Turkey
6Istanbul University Institute of Cardiology, Department of Cardiology, Istanbul, Turkey
7Istanbul University Cerrahpasa Faculty of Medicine, Department of Cardiology, Istanbul, Turkey
8Florence Nightingale Hospital, Department of Cardiology, Istanbul, Turkey
9Istanbul University Istanbul Faculty of Medicine, Department of Cardiology, Istanbul, Turkey
10Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Cardiology, Izmir, Turkey
11Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
12Ankara University Faculty Of Medicine, Department Of Cardiology, Ankara, Turkey
13Kartal Kosuyolu Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
14Gebze Anadolu Medical Center, Department of Cardiology, Izmit, Turkey
15Istanbul Medeniyet University Goztepe Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
16Dokuz Eylul University Faculty of Medicine, Department of Cardiology, Izmir, Turkey
17Gazi University Faculty of Medicine, Department of Cardiology, Ankara, Turkey


OBJECTIVE
Data from EUROASPIRE-IV Turkey report investigating risk factors and adherence to guidelines in patients hospitalized for coronary artery disease are presented and results are compared with those of EUROASPIRE-III Turkey and EUROASPIRE-IV Europe.

METHODS
Study was performed in 24 European countries, including Turkey (17centers).Patients (18–80years old)hospitalized for coronary (index)event during preceding 3 years were identified from hospital records and interviewed ≥6 months later. Patient information regarding index event was acquired from hospital records. Anamnesis was obtained during the interview, and physical examination and laboratory analyses were performed.
RESULTS
Median age at the index coronary event was 58.8 years, and it was significantly decreased compared with last EUROASPIRE-III study (60.5 years),which was conducted at the same centers 6 years earlier (p=0.017). Of all patients, 19.3% were under 50 years of age and mean age was lower than that of EUROASPIRE-IV Europe (62.5years).Comparing EUROASPIRE-IV Turkey with EUROASPIRE-IIITurkey, rate of smokers increased to 25.5% from 23.1% (p=0.499), obesity increased to 40.7% from 35.5% (p=0.211), total cholesterol level increased to 49.6% from 48.3% (p=0.767),and diabetes rate increased to 39.7% from 33.6% (p=0.139), however none of the differences reached a level of statistical significance.Only 11.7%of the smokers quit after coronary event. Rates for these factors were lower in EUROASPIRE-IVEurope (16%for smoking, 37.6%for obesity, and 26.8%for diabetes).
CONCLUSION
EUROASPIRE-IVTurkey data revealed that secondary prevention was unsatisfactory and had progressed unfavorably compared with last EUROASPIRE study, some risk factors were more uncontrolled than overall European average, and coronary artery events at young age remain an important problem.

Keywords: EUROASPIRE, secondary prevention, coronary artery disease, Turkey, lifestyle.

How to cite this article
Lale Tokgözoğlu, Meral Kayıkçıoğlu, Servet Altay, Sinan Aydoğdu, Cem Barçın, Cem Bostan, Hüseyin Altuğ Çakmak, Alp Burak Çatakoğlu, Samim Emet, Oktay Ergene, Ali Kemal Kalkan, Barış Kaya, Cansın Tulunay Kaya, Cihangir Kaymaz, Nevrez Koylan, Hakan Kültürsay, Aytekin Oğuz, Ebru Özpelit, Serkan Ünlü. EUROASPIRE-IV: European Society of Cardiology study of lifestyle, risk factors, and treatment approaches in patients with coronary artery disease: Data from Turkey. Turk Kardiyol Dern Ars. 2017; 45(2): 134-144

Corresponding Author: Lale Tokgözoğlu, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
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