Determinants of risk factor control in subjects with coronary heart disease: a report from the EUROASPIRE III investigators

Eur J Prev Cardiol. 2013 Aug;20(4):686-91. doi: 10.1177/2047487312445562. Epub 2012 Apr 18.


The EUROASPIRE audits of risk factor control have indicated that, even in those with established coronary heart disease, risk factor control remains poor. We therefore analysed the EUROASPRE III data set to establish the factors associated with success or failure in risk factor control in order to inform future risk factor management strategies. University education, attendance at a specialist cardiology clinic, and participation in a cardiac rehabilitation programme were associated with improved risk factor control. Risk factor control was poorer in women, those with diabetes, and those undergoing coronary artery bypass surgery as opposed to medical therapy or percutaneous coronary intervention. Increasing age, depression, and anxiety were not associated with poorer risk factor control.

Keywords: Coronary heart disease; risk factors; secondary prevention.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Comorbidity
  • Coronary Disease / diagnosis
  • Coronary Disease / epidemiology
  • Coronary Disease / therapy*
  • Diabetes Mellitus / epidemiology
  • Educational Status
  • Europe / epidemiology
  • Female
  • Health Status
  • Humans
  • Logistic Models
  • Male
  • Mental Health
  • Middle Aged
  • Multivariate Analysis
  • Myocardial Revascularization
  • Odds Ratio
  • Patient Compliance
  • Referral and Consultation
  • Risk Factors
  • Secondary Prevention* / methods
  • Sex Factors
  • Young Adult