{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:29Z","timestamp":1787991389090,"version":"build-2784847793"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>This observational study investigated whether patients with coronary heart disease (CHD) in Europe are achieving the standards set by prevention and rehabilitation guidelines. Variability was studied: (i) between countries; (ii) between geographical risk regions; and (iii) attendance at cardiac rehabilitation (CR) with outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observational study between September 2024- February 2026 in 160 hospitals across 27 countries. Geographical risk regions were defined as high, moderate or low based on WHO cardiovascular mortality data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 8590 patients with CHD (23.7% female), 17.1% were current smokers, 32.0% were obese and 33.5% reported low physical activity. 59.8% were above blood pressure target (systolic \u2265 130 and\/or diastolic \u2265 80\u2005mmHg), 82.7% were above LDL-C target (\u2265 1.4\u2005mmol\/l), 32.8% had known diabetes of whom 42.2% had HbA1c\u2009\u2265\u20097% and 30.6% had chronic kidney disease. Prevalences of these risk factors were all highest in countries from high risk regions. 29.1% of patients attended at least one CR session, with country variability ranging from 0% to 79%, and differing by risk region (55.9% low risk, 29.7% moderate risk and 10.2% high risk; p\u2009&amp;lt;\u20090.001). Attendance at CR programme was associated with significantly better lifestyles, risk factor control and use of cardioprotective drugs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most European patients are not achieving targets set by prevention guidelines. There is marked variability in CR attendance, evidence of inverse care with lowest attendance in highest risk regions, despite better outcomes for CR. These results inform the challenges for implementation of the first ESC guideline on CR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurheartj\/ehag741","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:32:01Z","timestamp":1787988721000},"source":"Crossref","is-referenced-by-count":0,"title":["ESC Guidelines on prevention and rehabilitation in coronary heart disease and current practice: the EUROASPIRE VI survey"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-0882","authenticated-orcid":false,"given":"David A","family":"Wood","sequence":"first","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9143-1425","authenticated-orcid":false,"given":"Catriona S","family":"Jennings","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0469-9413","authenticated-orcid":false,"given":"Kornelia","family":"Kotseva","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"Imperial College Healthcare NHS Trust, Imperial Cardiac Health & Rehabilitation Service St. Marys & Charing Cross Hospitals , 5th Floor, 5 North, Room 27, Fulham Palace Road, London, W6 8RF ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3869-8304","authenticated-orcid":false,"given":"Agnieszka","family":"Adamska","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0083-1256","authenticated-orcid":false,"given":"Iris","family":"Erlund","sequence":"additional","affiliation":[{"name":"Institute for Nutrition and Health Research , Kivihaantie 7, Helsinki ,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7037-660X","authenticated-orcid":false,"given":"Sandra","family":"Ganly","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4055-6954","authenticated-orcid":false,"given":"Per-Henrik","family":"Groop","sequence":"additional","affiliation":[{"name":"Department of Nephrology, University of Helsinki and Helsinki University Hospital , Helsinki ,","place":["Finland"]},{"name":"Folkh\u00e4lsan Research Center, Biomedicum Helsinki , Helsinki ,","place":["Finland"]},{"name":"Department of Diabetes, Central Medical School , Melbourne, Victoria ,","place":["Australia"]},{"name":"Baker Heart & Diabetes Institute , Melbourne, Victoria, Helsinki ,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6342-7138","authenticated-orcid":false,"given":"Susan","family":"Hennessy","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4143-4839","authenticated-orcid":false,"given":"Maarten J G","family":"Leening","sequence":"additional","affiliation":[{"name":"Departments of Cardiology, Epidemiology, and Radiology; Cardiovascular Institute Erasmus MC \u2013 University Medical Center Rotterdam , Doctor Molenwaterplein 40 Rotterdam 3015 GD ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8655-4044","authenticated-orcid":false,"given":"Linda","family":"Mellbin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Solna Cardiology, Karolinska Institutet , Eugeniav\u00e4gen 27, Solna Stockholm 17164 ,","place":["Sweden"]},{"name":"Department of Cardiology, Karolinska University Hospital , Eugeniav\u00e4gen 27, Solna Stockholm 17164 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0508-0954","authenticated-orcid":false,"given":"Kausik K","family":"Ray","sequence":"additional","affiliation":[{"name":"Primary Care and Public Health, Imperial College London, School of Public Health , 90 Wood Lane, London, W12 0BZ ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5430-4697","authenticated-orcid":false,"given":"Lars","family":"Ryden","sequence":"additional","affiliation":[{"name":"Department of Medicine, Solna Cardiology, Karolinska Institutet , Eugeniav\u00e4gen 27, Solna Stockholm 17164 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2024-1931","authenticated-orcid":false,"given":"Terhi","family":"Vihervaara","sequence":"additional","affiliation":[{"name":"Institute for Nutrition and Health Research , Kivihaantie 7, Helsinki ,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0322-9818","authenticated-orcid":false,"given":"Victor","family":"Aboyans","sequence":"additional","affiliation":[{"name":"Cardiology Departemnt, Princess Grace Hospital , 1 Ave Pasteur, Monaco 98000 ,","place":["Monaco"]},{"name":"EpiMaCT research group, INSERM1094\/IRD270, Limoges University , 25 Rue Marcland, Limoges 87025 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0786-7830","authenticated-orcid":false,"given":"Ana","family":"Abreu","sequence":"additional","affiliation":[{"name":"Cardiovascular Rehabilitation Unit, Cardiology Service, Hospital S. 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Division of Medicine, University Medical Centre Ljubljana , Zalo\u0161ka 2, Ljubljana SI-1525 ,","place":["Slovenia"]},{"name":"Chair of Internal Medicine, Cardiology & Vascular Medicine, Medical Faculty, University of Ljubljana , Vrazov trg 2, Ljubljana SI-1000 ,","place":["Slovenia"]},{"name":"WG on Preventive Cardiology, Slovenian Society of Cardiology , \u0160tukljeva 48, Ljubljana SI-1000 ,","place":["Slovenia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8883-117X","authenticated-orcid":false,"given":"Baris","family":"Gungor","sequence":"additional","affiliation":[{"name":"University of Health Sciences Dr. Siyami Ersek Research Hospital , Istanbul ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2681-3515","authenticated-orcid":false,"given":"Peter","family":"Heuschmann","sequence":"additional","affiliation":[{"name":"Institute of Clinical Epidemiology and Biometry, University W\u00fcrzburg , Am Schwarzenberg 15, W\u00fcrzburg, Bavaria 97078 ,","place":["Germany"]},{"name":"Institute for medical Data Sciences, University Hospital W\u00fcrzburg , Am Schwarzenberg 15, W\u00fcrzburg, Bavaria 97078 ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6223-8821","authenticated-orcid":false,"given":"Piotr","family":"Jankowski","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education , Czerniakowska 231, Warsaw Mazowsze 00-146 ,","place":["Poland"]},{"name":"Department of Epidemiology and Population Health, School of Public Health, Centre of Postgraduate Medical Education , Kleczewska 61\/63, Warsaw Mazowsze 01-826 ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulia","family":"Kulcsar","sequence":"additional","affiliation":[{"name":"ICU Medical 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,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0685-2605","authenticated-orcid":false,"given":"Dragan","family":"Lovic","sequence":"additional","affiliation":[{"name":"University Singidunum, School of Medicine, Outpatient Clinic for internal Disease Intermedica , Danijelova 32, Belgrade 11000 ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2764-6779","authenticated-orcid":false,"given":"Aldo P","family":"Maggioni","sequence":"additional","affiliation":[{"name":"ANMCO Research Center, HCF Fondazione ANMCO per il Tuo Cuore ETS , Florence ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0977-7276","authenticated-orcid":false,"given":"Fabrice MAC","family":"Martens","sequence":"additional","affiliation":[{"name":"Departement of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam 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Heymanslaan 10\u20134K3, entrance 42, Ghent 9000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6530-5479","authenticated-orcid":false,"given":"John W","family":"McEvoy","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, Croi Heart and Stroke Centre Moyola Lane , Newcastle, Galway, Co. Galway, H91 FF68 ,","place":["Ireland"]},{"name":"University of Galway, University Road, Galway, Co , Galway, H91 TK33 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,29]]},"container-title":["European Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurheartj\/advance-article-pdf\/doi\/10.1093\/eurheartj\/ehag741\/70828257\/ehag741.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurheartj\/advance-article-pdf\/doi\/10.1093\/eurheartj\/ehag741\/70828257\/ehag741.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:32:01Z","timestamp":1787988721000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurheartj\/advance-article\/doi\/10.1093\/eurheartj\/ehag741\/8772354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/eurheartj\/ehag741","relation":{},"ISSN":["0195-668X","1522-9645"],"issn-type":[{"value":"0195-668X","type":"print"},{"value":"1522-9645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]},"article-number":"ehag741"}}