Clinical presentation and management of stable coronary artery disease in Austria

PLoS One. 2017 Apr 27;12(4):e0176257. doi: 10.1371/journal.pone.0176257. eCollection 2017.


Background: Cardiovascular disease is the main cause of death in Austria. However, no systematic information exists regarding characteristics and treatments of contemporary patients with stable coronary artery disease (CAD) in Austria. We assembled two retrospective physicians' databases to describe demographics, clinical profiles, and therapeutic strategies in patients with stable CAD. In addition, we compared patient profiles of secondary care internists and hospital-based cardiologists with those of general practitioners in a primary care setting outside of hospital.

Methods: The study population was identified from retrospective chart review of 1020 patients from 106 primary care physicians in Austria (ProCor II registry), and was merged with a previous similar database of 1280 patients under secondary care (ProCor I registry) to yield a total patient number of 2300.

Results: Female patients with stable CAD were older, had more angina and/or heart failure symptoms, and more depression than males. Female gender, type 2 diabetes mellitus, higher CCS class and asthma/COPD were predictors of elevated heart rate, while previous coronary events/revascularization predicted a lower heart rate in multivariate analysis. There were no significant differences with regard to characteristics and management of patients of general practitioners in the primary care setting versus internists in secondary care.

Conclusions: Characteristics and treatments of unselected patients with stable ischemic heart disease in Austria resemble the pattern of large international registries of stable ischemic heart disease, with the exception that diabetes and systemic hypertension were more prevalent.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Austria / epidemiology
  • Coronary Artery Disease / epidemiology*
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Female
  • Heart Rate
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies

Grants and funding

Servier Austria GmbH <> provided help with initial study design, logistics and data collection. Servier had no role in data analysis, decision to publish, or preparation of the manuscript. This fact does not alter our adherence to PLOS ONE policies on sharing data and materials. Regarding this commercial funder, no other relevant declarations relating to employment, consultancy, patents, products in development, marketed products apply.