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Age-related differences in the lipid profile in patients admitted to a cardiac rehabilitation program

Session Poster Session I - Thursday 08:30 - 18:00

Speaker Alfredo Chauca Tapia

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2017

  • Topic : preventive cardiology
  • Sub-topic : Lipids
  • Session type : Poster Session

Authors : A Chauca Tapia (Cadiz,ES), R Colman Llamozas (Cadiz,ES), T Bretones Del Pino (Cadiz,ES), L Gutierrez Alonso (Cadiz,ES), E Otero Chulian (Cadiz,ES), R Vazquez Garcia (Cadiz,ES)

A Chauca Tapia1 , R Colman Llamozas1 , T Bretones Del Pino1 , L Gutierrez Alonso1 , E Otero Chulian1 , R Vazquez Garcia1 , 1University Hospital Puerta del Mar, Cardiology - Cadiz - Spain ,

European Journal of Preventive Cardiology ( April 2017 ) 24 ( Supplement 1 ), 19

Background: The purpose of this research is to describe the clinical and epidemiological differences between young (under 50yrs) and older people admitted to a cardiac rehabilitation program (CRP) in a tertiary hospital and the effect of cardiac rehabilitation on lipid profile in these two groups of patients.
Methods: Descriptive and analytical study of patients admitted between January 2012 and December 2014 in the CRP of a tertiary hospital. Patients were divided into the younger-aged group (<50 yrs, n=46) and older-aged group (> or =50 yrs, n=180). Clinical and epidemiological features were analyzed to determine differences between both groups. Also, we compared pre and post-CRP lipid profile in both groups and analyzed the age-related differences of the effect of CRP on lipid profile. 
Results: During the study period, 226 patients were admitted to the CRP, the mean age of each groups were 44.7±5.08yrs and 60.87±6.37yrs. The only statistically significant differences between groups were sex (p=0.028), prevalence of DM (p=0.035) and the percentage of patients with LDL<70 postCRP (p=0.044). We also compared the pre and postCRP levels of total cholesterol, LDL, HDL and triglycerides. We observed an improvement in the four parameters of the lipid profile in the older-aged group (TC -16.87, p=0.00; LDL -22.04, p=0.00; HDL +5.58, p=0.00; Trig -14.23, p=0.018), while in the younger-aged group we only observed improvement in HDL (-6.65, p= 0.002).
Conclusion: As we showed in our study, older patients have a greater improvement in lipid profile after CRP compared with younger patients.

Younger-aged Older-aged p
n 46 180
Mean age 44.7±5.08 60.87±6.37
Female/Male 8.7%/91.3% 23.3 %/76.75% 0.028
LVEF <50% 26.8% 20.3% 0.36
Incomplete revascularization 12.8% 25% 0.10
Hypertension 43.5% 55.6% 0.14
Dyslipidemia 58.7% 63.3% 0.56
DM 21.7% 38.3% 0.035
Readmission 17.4% 11.7% 0.3
Complete CRp 97.8% 93.9% 0.28
LDL<70 preCardiaRehab 7.7% 18.5% 0.10
LDL<70 postCardiaRehab 28.3% 43.8% 0.044

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