Turk Kardiyol Dern Ars. 2017; 45(5): 398-407 | DOI: 10.5543/tkda.2017.39032
Survey of Risk Factor Management (SURF) data of Turkey: Cardiovascular risk factor control ratios in 15 different types of healthcare centers
, Aytekin Oğuz2
, Mustafa Kemal Balcı3
, Ahmet Temizhan4
, Esma Güldal Altunoğlu5
, Osman Bektaş6
, Güler Aslan7
, Özgün Iyigün8
, Ahmet Kara9
, Handan Tanrıverdi Pınar10
, Saffet Yavuz11
, Murat Tekin12
, Saffet Ercan13
, Selda Çelik14
, Özlem Sezgin Meriçliler15
, İrem Bozkurt Çakır161
Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara2
Department of Internal Medicine, Göztepe Training and Research Hospital, Medeniyet University Faculty of Medicine, İstanbul3
Department of Internal Medicine and Endocrinology, Akdeniz University Faculty of Medicine, Antalya4
Department of Cardiology, Türkiye Yüksek İhtisas Hospital, Ankara5
Department of Internal Medicine, Ministry of Health Istanbul Training and Research Hospital, Istanbul6
Department of Cardiology, Fatsa State Hospital, Ordu7
Department of Family Medicine, Ministry of Health Havran State Hospital, Balıkesir8
Department of Internal Medicine, Ministry of Health Silopi State Hospital, Şırnak9
Nene Hatun Family Medicine Center, İstanbul10
Şehit Dr. Yüksel Demir Number 1 Family Medicine Center, Elazığ11
Gynecology-Obstetrics and Children Hospital, Mardin12
Department of Internal Medicine, Onsekiz Mart University Faculty of Medicine, Çanakkale13
Beyoğlu Number 6 Family Medicine Center, İstanbul14
Avrasya Medi Tech Hospital, Ordu15
Department of Internal Medicine, Acıbadem University Faculty of Medicine, İstanbul16
Department of Internal Medicine, Ardahan State Hospital, Ardahan
OBJECTIVE The aim of this study was to evaluate the adherence to recommendations for secondary prevention and the achievement of treatment targets for the control of risk factors in patients with established coronary heart disease (CHD) who were followed-up at various healthcare facilities in Turkey.
METHODS According to the protocol of the international Survey of Risk Factor Management study, questionnaire forms were completed and demographic, anthropometric, and laboratory data of CHD patients who were followed-up at a total of 15 selected primary, secondary, and tertiary healthcare centers were recorded.
RESULTS Among a total of 724 CHD patients (69.8% male; mean age: 63.3±10.7 years) included in the study, 18.4% were current smokers, only 19.1% had normal body mass index, and 22.1% had waist circumference below the limit of abdominal obesity. Physical activity was insufficient in 53% of the patients, 47.3% had low high-density lipoprotein cholesterol value, 46% had triglyceride level above 150 mg/dL, and 67% had glycated hemoglobin value of 6.5% or above. Of all the patients, 88.1% were using antiplatelet drugs, 71.4% were using beta-blockers, 55.7% were using statins, and 41.9% were using angiotensin-converting enzyme inhibitors/angiotensin receptor blockers. Blood pressure was under control in 56.7% of the hypertensive patients using antihypertensive drugs, and the proportion of diabetic patients who reached glycemic control targets using antidiabetic drugs was 35.9%. Low-density lipoprotein cholesterol was below 70 mg/dL in 12.2% of the patients using statins.
CONCLUSION According to the data obtained, among Turkish CHD patients, the control rate of cardiovascular risk factors is low, and implementation of the recommendations regarding lifestyle modification and medication use for secondary prevention in the current guidelines are insufficient.
Cardiovascular disease, questionnaire, risk factors, secondary prevention.
Lale Tokgözoğlu, Aytekin Oğuz, Mustafa Kemal Balcı, Ahmet Temizhan, Esma Güldal Altunoğlu, Osman Bektaş, Güler Aslan, Özgün Iyigün, Ahmet Kara, Handan Tanrıverdi Pınar, Saffet Yavuz, Murat Tekin, Saffet Ercan, Selda Çelik, Özlem Sezgin Meriçliler, İrem Bozkurt Çakır. Survey of Risk Factor Management (SURF) data of Turkey: Cardiovascular risk factor control ratios in 15 different types of healthcare centers. Turk Kardiyol Dern Ars. 2017; 45(5): 398-407
Corresponding Author: Aytekin Oğuz, Türkiye