%0 Journal Article
%T Secondary prevention programme of ischaemic heart disease in the elderly: A randomised clinical trial
%A Elisenda Marcos-Forniol
%A Emili Corbella
%A Francesc Formiga
%A Jos¨¦ F Meco
%A Xavier Pint¨®
%J European Journal of Preventive Cardiology
%@ 2047-4881
%D 2018
%R 10.1177/2047487317742998
%X Elderly patients have been underrepresented in secondary cardiovascular prevention programmes. This study aimed to ascertain the effects of a secondary coronary disease prevention programme in these patients. Open randomised intervention study with parallel groups. One hundred and twenty-seven patients aged ¡Ý70 years with a recent acute coronary syndrome were randomised to a protocolised clinical intervention plus usual care (intervention group, n£¿=£¿64) or to usual care alone (control group, n£¿=£¿63). Patients were assessed at baseline and after 12 months. The main outcome was the percentage of patients with optimal risk factor control after 12 months of follow-up. Secondary outcomes included changes in Mediterranean diet adherence, quality of life and functionality. Mortality was evaluated three years after the end of the intervention. One hundred and six patients (83.4%) completed 12 months of follow-up (54 in the intervention group and 52 in the control group). At the end of intervention, 34.2% more patients in the intervention group had achieved optimal risk factor control with a number needed to treat of 3 (relative risk 2.18, 95% confidence interval 1.36 to 3.50). The intervention group improved adherence to the Mediterranean diet (p£¿=£¿0.013) and functionality assessed by the Short Physical Performance Battery (p£¿=£¿0.047). No differences between groups were found in quality of life (Short-Form 36 Health Survey) or mortality after three years (hazard ratio 1.19, 95% confidence interval 0.41 to 3.45). A secondary coronary disease prevention programme in elderly patients with a recent acute coronary syndrome improved risk factor control, Mediterranean diet adherence and functionality
%K Secondary prevention
%K coronary disease
%K risk factors
%K Mediterranean diet
%K physical performance
%K quality of life
%K aged
%U https://journals.sagepub.com/doi/full/10.1177/2047487317742998