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Influence of patient adherence to healthy lifestyle in long-term cardiovascular events

Session Poster Session 2

Speaker Carmen Rus Mansilla

Congress : EuroPrevent 2019

  • Topic : preventive cardiology
  • Sub-topic : Secondary Prevention
  • Session type : Poster Session
  • FP Number : P540

Authors : C Rus Mansilla (Andujar,ES), GA Cortez Quiroga (Andujar,ES), MC Duran Torralba (Andujar,ES), C Recuerda Casado (Andujar,ES), MG Lopez Moyano (Andujar,ES), D Fatela Cantillo (Andujar,ES), A Fernandez Suarez (Andujar,ES)

Authors:
C Rus Mansilla1 , GA Cortez Quiroga1 , MC Duran Torralba1 , C Recuerda Casado1 , MG Lopez Moyano1 , D Fatela Cantillo1 , A Fernandez Suarez1 , 1Hospital Alto Guadalquivir - Andujar - Spain ,

Citation:

Introduction: Changes in lifestyle, including adoption of a healthy diet, physical activity and treatment adherence are the mainstay of prevention in cardiovascular disease. So, education is the cornerstone of the Cardiac Rehabilitation Programs (CRP). The aim of this study is to analyze the influence of adoption of healthy habits, and adherence to treatment in the long-term event-free survival.

Methods: Patients from the Cardiac Rehabilitation Unit were included in the study from 2008 to 2018, within a county hospital. The adoption of a healthy diet, exercise and treatment adherence were evaluated by a trained nurse using Nanda/NIC/NOC taxonomies and Likert scale. Compliance was considered when the Likert scale scored 4-5. The influence of these adhesion factors on event-free survival was analyzed. Event was considered as death, acute coronary syndrome, stroke, revascularization or cardiovascular admission.

Results: The mean follow-up was 4.57 years. 241 patients were included: 19% women, mean age 60 years, 54% HTA, 31% diabetics, 62% dyslipidemic, 51.4% smokers.

The influence of healthy diet adoption on event-free survival was analyzed, with a mean of time of 3206 days in the diet compliance group vs 2712, p<0.005. In physical exercise complicance there were no statistically significant differences between the two groups. Treatment adherence improved event-free survival with a mean of time of 3058 days vs 2687, p<0.05.

In the multivariate analysis, only the adoption of a healthy diet showed influence on event-free survival (p<0.05).

Conclusions: Adherence to diet is a basic mainstay of CRP, improving event-free survival, even over treatment adherence or physical activity. This reinforces the fundamental role of self-care in the development of ischemic disease.

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