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Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India

CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight mana...

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Autores principales: Sudevan, Remya, Raj, Manu, Vasudevan, Damodaran Madhavi, Arun, Chankramath, Thachathodiyl, Rajesh, Vijayakumar, Maniyal, Abdullakutty, Jabir, Thomas, Paul, George, Vijo, Kabali, Conrad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477737/
https://www.ncbi.nlm.nih.gov/pubmed/34660241
http://dx.doi.org/10.4103/ijem.IJEM_532_20
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author Sudevan, Remya
Raj, Manu
Vasudevan, Damodaran Madhavi
Arun, Chankramath
Thachathodiyl, Rajesh
Vijayakumar, Maniyal
Abdullakutty, Jabir
Thomas, Paul
George, Vijo
Kabali, Conrad
author_facet Sudevan, Remya
Raj, Manu
Vasudevan, Damodaran Madhavi
Arun, Chankramath
Thachathodiyl, Rajesh
Vijayakumar, Maniyal
Abdullakutty, Jabir
Thomas, Paul
George, Vijo
Kabali, Conrad
author_sort Sudevan, Remya
collection PubMed
description CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight management, blood pressure (BP) control, Low density lipoprotein (LDL) cholesterol control and adequate physical activity between patients with and without diabetes. SETTINGS AND DESIGN: This is a hospital-based cross-sectional analytical study. METHODS AND MATERIALS: The study questionnaire was used to collect data through interviews of CAD patients. Compliance to secondary prevention strategies was documented using European Society of Cardiology guidelines. STATISTICAL ANALYSIS: We used modified Poisson model to estimate adjusted prevalence ratios (Adj. PR) for estimating compliance. RESULTS: Among 1,206 participants with CAD, 609 (50.5%) had diabetes. The Adj. PR s for three targets – smoking cessation (Adj. PR 1.01, 95% CI 0.97, 1.06, P 0.50), ideal BMI (Adj. PR 0.99, 95% CI 0.92, 1.09, P 0.99) and adequate physical activity (Adj. PR 1.12, 95% CI 0.97, 1.29, P 0.12) showed no significant difference between the groups. There was poor BP control in patients with diabetes compared to those without the same (Adj. PR 0.19, 95% CI 0.15, 0.23, P < 0.0001). LDL cholesterol control was better in patients with diabetes in comparison to those without the same (Adj. PR 1.19, 95% CI 1.08, 1.31, P 0.0005). CONCLUSION: The compliance for secondary prevention of CAD among patients with diabetes is similar to those without diabetes except for poor control of hypertension and better control of LDL cholesterol.
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spelling pubmed-84777372021-10-14 Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India Sudevan, Remya Raj, Manu Vasudevan, Damodaran Madhavi Arun, Chankramath Thachathodiyl, Rajesh Vijayakumar, Maniyal Abdullakutty, Jabir Thomas, Paul George, Vijo Kabali, Conrad Indian J Endocrinol Metab Original Article CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight management, blood pressure (BP) control, Low density lipoprotein (LDL) cholesterol control and adequate physical activity between patients with and without diabetes. SETTINGS AND DESIGN: This is a hospital-based cross-sectional analytical study. METHODS AND MATERIALS: The study questionnaire was used to collect data through interviews of CAD patients. Compliance to secondary prevention strategies was documented using European Society of Cardiology guidelines. STATISTICAL ANALYSIS: We used modified Poisson model to estimate adjusted prevalence ratios (Adj. PR) for estimating compliance. RESULTS: Among 1,206 participants with CAD, 609 (50.5%) had diabetes. The Adj. PR s for three targets – smoking cessation (Adj. PR 1.01, 95% CI 0.97, 1.06, P 0.50), ideal BMI (Adj. PR 0.99, 95% CI 0.92, 1.09, P 0.99) and adequate physical activity (Adj. PR 1.12, 95% CI 0.97, 1.29, P 0.12) showed no significant difference between the groups. There was poor BP control in patients with diabetes compared to those without the same (Adj. PR 0.19, 95% CI 0.15, 0.23, P < 0.0001). LDL cholesterol control was better in patients with diabetes in comparison to those without the same (Adj. PR 1.19, 95% CI 1.08, 1.31, P 0.0005). CONCLUSION: The compliance for secondary prevention of CAD among patients with diabetes is similar to those without diabetes except for poor control of hypertension and better control of LDL cholesterol. Wolters Kluwer - Medknow 2021 2021-09-08 /pmc/articles/PMC8477737/ /pubmed/34660241 http://dx.doi.org/10.4103/ijem.IJEM_532_20 Text en Copyright: © 2021 Indian Journal of Endocrinology and Metabolism https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sudevan, Remya
Raj, Manu
Vasudevan, Damodaran Madhavi
Arun, Chankramath
Thachathodiyl, Rajesh
Vijayakumar, Maniyal
Abdullakutty, Jabir
Thomas, Paul
George, Vijo
Kabali, Conrad
Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title_full Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title_fullStr Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title_full_unstemmed Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title_short Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
title_sort compliance of secondary prevention strategies in coronary artery disease patients with and without diabetes mellitus – a cross-sectional analytical survey from kerala, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477737/
https://www.ncbi.nlm.nih.gov/pubmed/34660241
http://dx.doi.org/10.4103/ijem.IJEM_532_20
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