Comparison of primary versus secondary prevention of cardiovascular disease in patients with type2 diabetes: Focus on achievement of ABC goals

Soghra Rabizadeh, Mohammad Ali Mansournia, Salome Sadat Salehi, Pegah Khaloo, Hamid Alemi, Hassan Mirbolouk, Michael Blaha, Alireza Esteghamati, Manouchehr Nakhjavani

Research output: Contribution to journalArticle

Abstract

Background: Primary and secondary prevention of cardiovascular disease is of utmost importance in the management of patients with diabetes. Objectives: We studied a group of Iranian patients with type2 diabetes to provide an overview of the current status of secondary prevention of cardiovascular disease in the Middle East. Methods: This is a cross-sectional study of 2029 Patients with type2 diabetes including 323 patients with coronary artery disease (CAD) were recruited. Achievement of goals in HbA1c (A), blood pressure (B) and LDL-cholesterol(C) was assessed. Results: The study showed 25.3% of CAD positive patients achieved HbA1c <7% compared to 30% in CAD negative patients. The achievement of blood pressure ≤140/90 mmHg was 53.2% and 52.8% in CAD positive and CAD negative patients respectively. There was no difference in the achievement of all three ABC goals between the two groups (p = 0.733). After logistic regression analysis, history of hypertension had the highest odds ratio for CAD. Conclusion: Although ABC control has an important impact on the prevention of cardiovascular outcomes, the ideal goal needs further efforts to be achieved.

Original languageEnglish (US)
Pages (from-to)1733-1737
Number of pages5
JournalDiabetes and Metabolic Syndrome: Clinical Research and Reviews
Volume13
Issue number3
DOIs
StatePublished - May 1 2019

Keywords

  • Cardiovascular risk factors
  • Coronary artery disease
  • Primary prevention
  • Secondary prevention
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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