Comparison of Primary Versus Secondary Prevention of Cardiovascular Disease in Patients With Type2 Diabetes: Focus on Achievement of Abc Goals Publisher Pubmed



Rabizadeh S¹ ; Mansournia MA² ; Salehi SS¹ ; Khaloo P¹ ; Alemi H¹ ; Mirbolouk H³ ; Blaha MJ³ ; Esteghamati A¹ ; Nakhjavani M¹
Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews Published:2019

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. © 2019