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We compared prevalences of cardiovascular risk factors and its determinants including lifestyle, pharmacotherapy and diabetes mellitus among patients with chronic CHD examined within the fourth and fifth EUROASPIRE surveys (EA-IV, 2012\u201313; and EA-V, 2016\u201317) in Germany.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The EA initiative iteratively conducts European-wide multicenter surveys investigating the quality of secondary prevention in chronic CHD patients aged 18 to 79\u00a0years. The data collection in Germany was performed during a comprehensive baseline visit at study centers in W\u00fcrzburg (EA-IV, EA-V), Halle (EA-V), and T\u00fcbingen (EA-V).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>384 EA-V participants (median age 69.0\u00a0years, 81.3% male) and 536 EA-IV participants (median age 68.7\u00a0years, 82.3% male) were examined. Comparing EA-IV and EA-V, no relevant differences in risk factor prevalence and lifestyle changes were observed with the exception of lower LDL cholesterol levels in EA-V. Prevalence of unrecognized diabetes was significantly lower in EA-V as compared to EA-IV (11.8% vs<jats:bold>.<\/jats:bold> 19.6%) while the proportion of prediabetes was similarly high in the remaining population (62.1% vs. 61.0%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Between 2012 and 2017, a modest decrease in LDL cholesterol levels was observed, while no differences in blood pressure control and body weight were apparent in chronic CHD patients in Germany. Although the prevalence of unrecognized diabetes decreased in the later study period, the proportion of normoglycemic patients was low. As pharmacotherapy appeared fairly well implemented, stronger efforts towards lifestyle interventions, mental health programs and cardiac rehabilitation might help to improve risk factor profiles in chronic CHD patients.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00392-022-02093-0","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T10:02:51Z","timestamp":1664272971000},"page":"285-298","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Secondary prevention in diabetic and nondiabetic coronary heart disease patients: Insights from the German subset of the hospital arm of the EUROASPIRE IV and V surveys"],"prefix":"10.1007","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6453-4587","authenticated-orcid":false,"given":"K.","family":"Ungeth\u00fcm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Wiedmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Leyh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Ertl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Frantz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Geisler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Karmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Prondzinsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Herdeg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Noutsias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Ludwig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"K\u00e4s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Klocke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Krapp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kotseva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"St\u00f6rk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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J.K., B.K., J.Kr. received a doctoral thesis stipend from the Graduate School of Life Sciences at University W\u00fcrzburg. S.W. reports grants from the German Ministry of Research and Education and Deutsche Herzstiftung e.V. G.E. reports personal fees from Astra-Zeneca, Abbott, Boehringer Ingelheim, Novartis, and Vifor, all outside the submitted work. He further acknowledges nonfinancial support from the University Hospital W\u00fcrzburg, nonfinancial support from Comprehensive Heart Failure Center W\u00fcrzburg, and grant support from German Ministry for Education and Research (BMBF). St.St. reports grants from the German Ministry of Research and Education, grants and other from Boehringer, Bayer, Thermo Fisher, and Pfizer; other from Astra-Zeneca, Sanofi, Servier, Alnylam, Ionis, and Akcea; grants, personal fees, non\u2010financial support, and other from Novartis, outside the submitted work. P.U.H. reports grants from the German Ministry of Education and Research, German Research Foundation, European Union, Berlin Chamber of Physicians, German Parkinson Society, University Hospital W\u00fcrzburg, Robert Koch Institute, German Heart Foundation, Federal Joint Committee (G\u2010BA) within the Innovationfond, University Hospital Heidelberg (within RASUNOA-prime; supported by an unrestricted research grant to the University Hospital Heidelberg from Bayer, BMS, Boehringer Ingelheim, and Daiichi Sankyo), Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (within Mondafis; supported by an unrestricted research grant to the Charit\u00e9 from Bayer), and University G\u00f6ttingen (within FIND-AF randomized; supported by an unrestricted research grant to the University G\u00f6ttingen from Boehringer Ingelheim) outside the submitted work. M.W., R.L., S.F., T.G., W.K., R.P., C.H., M.N., T.L., D.W., K.K. have nothing to report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}