{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:54:53Z","timestamp":1755795293120,"version":"3.44.0"},"reference-count":32,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2016,2,2]]},"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To determine the degree of risk factor control, the clinical symptoms and the therapeutic management of patients with a history of previous myocardial infarction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cross-sectional study at 6\u2005years of a first episode of acute myocardial infarction between 2000 and 2009, admitted at a hospital in the region of Extremadura (Spain). Of 2177 patients with this diagnosis, 1365 remained alive and therefore were included in the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We conducted a person-to-person survey in 666 (48.8%) individuals and telephone survey in 437 (31.9%) individuals. The former are analysed. 130 were female (19.5%). The mean age was 67.4\u2005years and the median time since the event was 5.8 (IQR 3.6\u20138.2) years. Active smokers made up 13.8%, low-density lipoprotein (LDL) cholesterol was \u226570\u2005mg\/dL: 82%, blood pressure \u2265140\/90\u2005mm\u2005Hg (\u2265140\/85 in diabetics): 49.8%, fasting glucose \u2265126\u2005mg\/dL: 26%, heart rate 50\u201359\u2005bpm: 60.7%, and obesity: 45.9%. Patients reported presenting angina comprised 22.4% and those with dyspnoea, 29.3%. Drug coverage was: 88.0% antiplatelet drugs, 86.5% statins, 75.6% \u03b2-blockers and 65.8% blockers of the renin-angiotensin system. Patients receiving all four types of drugs made up 41.9%, with only 3.0% having jointly controlled cholesterol, blood pressure, heart rate and glycaemia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>LDL cholesterol, heart rate and blood pressure were risk factors with less control. More than 1\/5 of patients had angina and more than 1\/4, dyspnoea. Risk factor control and the clinical condition were far from optimal, as was drug coverage, although to a lesser degree.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2015-000368","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T22:09:25Z","timestamp":1456524565000},"page":"e000368","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Risk factors and therapeutic coverage at 6\u2005years in patients with previous myocardial infarction: the CASTUO study"],"prefix":"10.1136","volume":"3","author":[{"given":"Francisco Javier","family":"F\u00e9lix-Redondo","sequence":"first","affiliation":[{"name":"Primary Care Unit \u201cVillanueva Norte\u201d, Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group, Villanueva de la Serena, Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Lozano Mera","sequence":"additional","affiliation":[{"name":"Primary Care Unit \u201cUrbano I\u201d, Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group. M\u00e9rida, Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Consuegra-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Cardiac Hemodynamic Unit, Cardiology Department, Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group, \u201cSanta Lucia\u201d University Hospital, Cartagena, Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Gim\u00e9nez S\u00e1ez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Don Benito-Villanueva de la Serena Hospital, Don Benito, Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Garcip\u00e9rez de Vargas","sequence":"additional","affiliation":[{"name":"Cardiology Department, Don Benito-Villanueva de la Serena Hospital, Don Benito, Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Mar\u00eda","family":"Castellano V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain"},{"name":"Cardiology Department, Monteprincipe University Hospital (HM Hospitales), Boadilla del Monte, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Fern\u00e1ndez-Berg\u00e9s","sequence":"additional","affiliation":[{"name":"Cardiology Department, Programme of Investigation in Cardiovascular Diseases (PERICLES). GRIMEX Group, Don Benito-Villanueva de la Serena Hospital, Don Benito, Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,2,26]]},"reference":[{"key":"2025081711052050000_3.1.e000368.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht296"},{"key":"2025081711052050000_3.1.e000368.2","doi-asserted-by":"crossref","unstructured":"Kotseva K , Wood D , De Bacquer D , et al . EUROASPIRE IV: a European Society of Cardiology survey on the life style, risk factor and therapeutic management of coronary patients from 24 European countries. 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