Objective To analysis the rates of goal blood pressure, blood glucose and blood lipid achieved in patients with coronary artery disease (CAD) who were diagnosed by coronary arteriography and to explore the effect of risk factors in CAD.
Methods 2916 cases with CAD were analysed retrospectively the levels of blood pressure, blood sugar and blood lipid when they were admitted to hospital, and the level of blood pressure when they discharged. According to goal values of guidelines, respectively, the effects of three risk factors on CAD were evaluated. By means of 130/80 mm Hg, the rate of goal blood pressure achieved was 28.4% (829/2916) when they were admitted, and the rate of goal blood pressure achieved was 87.5% (2552/2916) when they were discharged. By means of 140/90 mm Hg, the rate of goal blood pressure achieved was 65.8% (1918/2916) when they were admitted, and the rate of goal blood pressure achieved was 90.0% (2624/2916)when they were discharged. The rate of goal high density lipoprotein cholesterol (HDL-C) achieved, by means of >1.04 mmol/l, was 34.7% (672/2916) when they were admitted to hospital. The rate of goal low density lipoprotein cholesterol (LDL-C) achieved, by means of <2.59 mmol/l, was 54.3% (531/978) in high risk patients, and by means of <2.07 mmol/l, was 17.4% (338/1938) in very high risk patients. The rates of goal total cholesterol (TC) achieved, by means of <4.14 mmol/l, was 49.5% (484/978) in high risk patients, and by means of <3.11 mmol/l, was 5.83% (113/1938) in very high risk patients. The rates of goal triglyceride achieved, by means of <1.7 mmol/l, was 58.0% (1690/2916). There was 538 cases diabetic patients in CAD, occupying 18.5% (538/2916), diabetic diagnosis standard was fasting blood glucose >7.0 mmol/l. The rates of goal fasting blood glucose was 1.86% (10/538), by means of <6.0 mmol/l fasting blood glucose. There was 600 patients of fasting blood glucose impaired, by means of >5.6mmol/l and <7.0 mmol/l on fasting blood glucose, and diabetes together with fasting blood glucose impaired were 1138 cases, occupying 39.03% (1138/2916) in CAD.
Conclusion The rates of goal blood pressure, fasting blood glucose and blood lipid achieved in patients with CAD were low when they were admitted. Not only rate of goal fasting blood glucose was very low in CAD accompanying diabetic patients, and but also rates of goal TC and LDL-C achieved were low in CAD. The results show that the management of goal blood pressure, goal fasting blood glucose and goal blood lipid are very important in prehospital for secondary prevention of CAD.