TY - JOUR
TI - Usefulness of a Structured Adult Education Program in Modifying Markers of Cardiovascular Risk After Acute Myocardial Infarction
AU - Giannopoulos, G.
AU - Karageorgiou, S.
AU - Vrachatis, D.
AU - Kousta, M.
AU - Tsoukala, S.
AU - Letsas, K.
AU - Siasos, G.
AU - Deftereos, S.
JO - AMERICAN JOURNAL OF CARDIOLOGY
PY - 2020
VL - 125
TODO - 6
SP - 845-850
PB - HANLEY & BELFUS-ELSEVIER INC
SN - 0002-9149
TODO - 10.1016/j.amjcard.2019.12.033
TODO - hemoglobin A1c;  low density lipoprotein cholesterol;  marker;  low density lipoprotein cholesterol, acute heart infarction;  adult;  adult education;  aged;  Article;  body mass;  cardiovascular risk;  controlled study;  diabetes mellitus;  diabetic patient;  education program;  female;  hemoglobin determination;  human;  major clinical study;  male;  priority journal;  standardization;  systolic blood pressure;  acute disease;  blood;  body mass;  follow up;  health education;  healthy lifestyle;  heart infarction;  middle aged;  organization and management;  patient participation;  randomized controlled trial;  risk reduction;  secondary prevention;  survival rate, Acute Disease;  Adult;  Aged;  Body Mass Index;  Cholesterol, LDL;  Female;  Follow-Up Studies;  Health Education;  Healthy Lifestyle;  Humans;  Male;  Middle Aged;  Myocardial Infarction;  Patient Participation;  Risk Reduction Behavior;  Secondary Prevention;  Survival Rate
TODO - Patient involvement in therapeutic strategies leading to lifestyle changes and increasing adherence to beneficial treatment is important for high risk coronary artery disease patients. The hypothesis of the present substudy was that a program of education specifically structured to educate postmyocardial infarction patients would lead to measurable differences in specific indices of cardiovascular risk. Post-MI patients were randomly assigned to 2 groups. Patients in the intervention arm attended an 8-week long educational program in addition to usual treatment and controls received standard treatment. Low-density lipoprotein cholesterol, systolic blood pressure, body-mass index, and glycosylated hemoglobin were assessed at baseline and at 12 months (values are reported as median [interquartile range]). One hundred ninety-eight consecutively randomized patients were included in the present substudy. The median change in Low-density lipoprotein cholesterol was −54 (−45 to [−62]) mg/dl in the intervention group as compared with −35 (−28 to [−43]) mg/dl in controls (p <0.001). Systolic blood pressure change was −7.5 (−15.3 to 0.3) mm Hg and −3.0 (−11.8 to 2.8) mm Hg, respectively (p = 0.011). The median change in body-mass index was 0.0 (−3.0 to 3.0) kg/m2 as compared with 2.0 (−1.0 to 3.9) kg/m2, respectively (p = 0.002). The reduction in glycosylated hemoglobin was significant in both groups with a median absolute change of −0.29 (−1.11 to 0.09) % in the intervention group and −0.24 (−0.69 to 0.06) % in controls (p = 0.168). If only diabetic patients were considered, the change was −0.65 (−1.3 to [−0.23]) % in the intervention group versus −0.41 (−0.74 to [−0.07]) % in controls (p = 0.021). In conclusion, a relatively short patient education program may have long-lasting effects on established modifiable markers of cardiovascular risk. © 2020 Elsevier Inc.
ER -