Cent Eur J Public Health 2014, 22(3):175-182
Secondary Prevention of Acute Coronary Syndrome. Socio-economic and Lifestyle Determinants: A Literature Review
- 1 Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
- 2 First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
Although cardiovascular disease mortality rates seem to decline, especially among middle-aged people in developed countries, the prevalence of acute coronary syndrome (ACS) increases, representing the most common cause of morbidity in both developed and developing countries and generating large economic burden. It is estimated that one fifth of the ACS patients die suddenly and half of them belong to a fast growing population age-group, i.e., those between 70 and 80 years. A substantial number of these deaths has been attributed to various lifestyles, modifiable factors; therefore, it can be prevented. However, factors such as dietary habits and behaviours, physical activity, life stress and smoking habits, although thoroughly discussed, are not well understood and appreciated in the spectrum of secondary ACS prevention. The latter deserves further attention under the prism of socio-economic status that has changed dramatically in the last years in some populations. The aim of this review was to discuss the role of lifestyle factors on secondary ACS prevention under the prism of individual's socio-economic status. Based on the retrieved information it was revealed that there is vast evidence that secondary prevention of cardiovascular events cannot be accomplished simply through medical treatment, but it requires a multifaceted approach incorporating lifestyle modifications, too. Therefore, public health policy endeavours should be directed towards multifocal strategies, i.e., to motivate and support cardiac patients to consistently follow treatment regimens and to establish more effective and efficient community lifestyle interventions.
Keywords: acute coronary syndrome, nutritional habits, physical activity, smoking status, alcohol consumption, lifestyle modifications, socio-economic status
Received: September 30, 2013; Revised: April 3, 2014; Accepted: April 3, 2014; Published: September 1, 2014 Show citation
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References
- WorldHealthOrganization.Mediacentre.Cardiovasculardiseases(CVDs). Fact sheet no. 317 [Internet]. Geneva: WHO; 2013 [cited 2014 Aug 23]. Available from: http://www.who.int/mediacentre/factsheets/fs317/en/.
- Roggeri DP, RoggeriA, Rossi E, Cinconze E, De Rosa M, MaggioniAP; ARNO Cardiovascular Observatory. Direct healthcare costs and resource consumption after acute coronary syndrome: a real-life analysis of an Italian subpopulation. Eur J Prev Cardiol. 2014 Sep;21(9):1090-6.
Go to original source...
Go to PubMed...
- Vestfold Heartcare Study Group. Influence on lifestyle measures and fiveyear coronary risk by a comprehensive lifestyle intervention programme in patients with coronary heart disease. Eur J Cardiovasc Prev Rehabil. 2003 Dec;10(6):429-37.
Go to original source...
Go to PubMed...
- Capewell S, Allender S, Critchley J, LLoyd-Williams F, O'Flaherty M, Rayner M, et al. Modelling the UK burden of cardiovascular disease to 2020: a research report for the Cardio & Vascular Coalition and the British Heart Foundation [Internet]. London: British Heart Foundation; 2008 [cited 2013 Sep 11].Available from: http://www.bhf.org.uk/plugins/PublicationsSearchResults/DownloadFile.aspx?docid=ad18e5a0-7da64c7c-8142-f68f27cde451.
- World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks [Internet]. Geneva: WHO; 2009 [cited 2013 Sep 11].Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_Front.pdf.
- Smith SC Jr, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol. 2011 Nov 29;58(23):2432-46.
Go to original source...
Go to PubMed...
- Sofi F, Fabbri A, Marcucci R, Gori AM, Balzi D, Barchielli A, et al. Lifestyle modifications after acute coronary syndromes in a subset of the AMI-Florence 2 Registry. Acta Cardiol. 2011 Dec;66(6):791-6.
Go to original source...
- Keys A, Blackburn H, Menotti A, Buzina R, Mohacek I, Karvonen MJ, et al. Coronary heart disease in seven countries. Circulation. 1970;41 Suppl 1:1-211.
Go to original source...
- Panagiotakos D.AMediterranean diet supplemented with olive oil or nuts reduces the incidence of major cardiovascular events in high-risk patients. Evid Based Med. 2014 Feb;19(1):10. doi:10.1136/eb-2013-101391.
Go to original source...
Go to PubMed...
- de Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999 Feb 16;99(6):779-85.
Go to original source...
- Panagiotakos DB,Arapi S, Pitsavos C,AntonoulasA, MantasY, Zombolos S, et al. The relationship between adherence to the Mediterranean diet and the severity and short-term prognosis of acute coronary syndromes (ACS): The Greek Study of ACS (The GREECS). Nutrition. 2006 JulAug;22(7-8):722-30.
Go to original source...
Go to PubMed...
- TrichopoulouA, Bamia C, Norat T, Overvad K, Schmidt EB, Tjønneland A, et al. Modified Mediterranean diet and survival after myocardial infarction: the EPIC-Elderly study. Eur J Epidemiol. 2007;22(12):871-81.
Go to original source...
Go to PubMed...
- Strazzullo P, D'Elia L, Kandala NB, Cappuccio FP. Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. BMJ. 2009 Nov 24;339:b4567. doi: 10.1136/bmj.b4567.
Go to original source...
Go to PubMed...
- Kastorini CM, Milionis HJ, Kalantzi K, Trichia E, Nikolaou V, Vemmos KN, et al. The mediating effect of the Mediterranean diet on the role of discretionary and hidden salt intake regarding non-fatal acute coronary syndrome or stroke events: case/case-control study.Atherosclerosis. 2012 Nov;225(1):187-93.
Go to original source...
Go to PubMed...
- He K, SongY, Daviglus ML, Liu K, Van Horn L, DyerAR, et al.Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. 2004 Jun 8;109(22):2705-11.
Go to original source...
Go to PubMed...
- Erkkilä AT, Lehto S, Pyörälä K, Uusitupa MI. n-3 Fatty acids and 5-y risks of death and cardiovascular disease events in patients with coronary artery disease. Am J Clin Nutr. 2003 Jul;78(1):65-71.
Go to original source...
Go to PubMed...
- Ramsden CE, Zamora D, Leelarthaepin B, Majchrzak-Hong SF, Faurot KR, Suchindran CM, et al. Use of dietary linoleic acid for secondary prevention of coronary heart disease and death: evaluation of recovered data from the Sydney Diet Heart Study and updated meta-analysis. BMJ. 2013 Feb 4;346:e8707. doi: 10.1136/bmj.e8707.
Go to original source...
Go to PubMed...
- Micha R, Wallace SK, Mozaffarian D. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis. Circulation. 2010 Jun 1;121(21):2271-83.
Go to original source...
Go to PubMed...
- Perk J, De Backer G, Gohlke H, Graham I, Reiner Ž, Verschuren WMM, et al.; EuropeanAssociation for Cardiovascular Prevention & Rehabilitation (EACPR); ESC Committee for Practice Guidelines (CPG). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J. 2012 Jul;33(13):1635-701.
Go to original source...
Go to PubMed...
- Gordon T, Kannel WB. Drinking habits and cardiovascular disease: the Framingham Study. Am Heart J. 1983 Apr;105(4):667-73.
Go to original source...
Go to PubMed...
- Costanzo S, Di Castelnuovo A, Donati MB, Iacoviello L, de Gaetano G. Alcohol consumption and mortality in patients with cardiovascular disease: a meta-analysis. JAm Coll Cardiol. 2010 Mar 30;55(13):1339-47.
Go to original source...
Go to PubMed...
- Rehm J, Sempos CT, Trevisan M. Average volume of alcohol consumption, patterns of drinking and risk of coronary heart disease - a review. J Cardiovasc Risk. 2003 Feb;10(1):15-20.
Go to original source...
- de Lorgeril M, Salen P, Martin JL, Boucher F, de Leiris J. Interactions of wine drinking with omega-3 fatty acids in patients with coronary heart disease: a fish-like effect of moderate wine drinking. Am Heart J. 2008 Jan;155(1):175-81.
Go to original source...
Go to PubMed...
- Collins MA, Neafsey EJ, Mukamal KJ, Gray MO, Parks DA, Das DK, et al. Alcohol in moderation, cardioprotection, and neuroprotection: epidemiological considerations and mechanistic studies. Alcohol Clin Exp Res. 2009 Feb;33(2):206-19.
Go to original source...
Go to PubMed...
- Hines LM, Stampfer MJ, Ma J, Gaziano JM, Ridker PM, Hankinson SE, et al. Genetic variation in alcohol dehydrogenase and the beneficial effect of moderate alcohol consumption on myocardial infarction. N Engl J Med. 2001 Feb 22;344(8):549-55.
Go to original source...
Go to PubMed...
- Mukamal KJ, Maclure M, Muller JE, Sherwood JB, Mittleman MA. Prior alcohol consumption and mortality following acute myocardial infarction. JAMA. 2001 Apr 18;285(15):1965-70.
Go to original source...
Go to PubMed...
- Little HJ. Behavioral mechanisms underlying the link between smoking and drinking. Alcohol Res Health. 2000;24(4):215-24.
- Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. J Am Geriatr Soc. 2009 Jun;57(6):955-62.
Go to original source...
Go to PubMed...
- Pitsavos C, Kavouras SA, Panagiotakos DB, Arapi S, Anastasiou CA, Zombolos S, et al.; GREECS Study Investigators. Physical activity status and acute coronary syndromes survival The GREECS (Greek Study of Acute Coronary Syndromes) study. J Am Coll Cardiol. 2008 May 27;51(21):2034-9.
Go to original source...
Go to PubMed...
- Logue J, Murray HM, Welsh P, Shepherd J, Packard C, Macfarlane P, et al. Obesity is associated with fatal coronary heart disease independently of traditional risk factors and deprivation. Heart. 2011 Apr;97(7):564-8.
Go to original source...
Go to PubMed...
- Green P, Newman JD, Shaffer JA, Davidson KW, Maurer MS, Schwartz JE. Relation of patients living without a partner or spouse to being physically active after acute coronary syndromes (from the PULSE accelerometry substudy). Am J Cardiol. 2013 May 1;111(9):1264-9.
Go to original source...
Go to PubMed...
- Molloy GJ, Hamer M, Randall G, Chida Y. Marital status and cardiac rehabilitation attendance: a meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008 Oct;15(5):557-61.
Go to original source...
Go to PubMed...
- Vanhees L, Rauch B, Piepoli M, van Buuren F, Takken T, Börjesson M, et al.; Writing Group, EACPR. Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III). Eur J Prev Cardiol. 2012 Dec;19(6):1333-56.
Go to original source...
Go to PubMed...
- Kannel WB, Dawber TR, Kagan A, Revotskie N, Stokes J 3rd. Factors of risk in the development of coronary heart disease - six year follow-up experience. The Framingham Study.Ann Intern Med. 1961 Jul;55:33-50.
Go to original source...
- De Bacquer D, Dallongeville J, Kotseva K, Cooney MT, Pajak A, Deckers JW, et al. Residual risk of cardiovascular mortality in patients with coronary heart disease:The EUROASPIRE Risk Categories. Int J Cardiol. 2013 Sep 30;168(2):910-4.
Go to original source...
Go to PubMed...
- Newby DE, Wright RA, Labinjoh C, Ludlam CA, Fox KA, Boon NA, et al. Endothelial dysfunction, impaired endogenous fibrinolysis, and cigarette smoking: a mechanism for arterial thrombosis and myocardial infarction. Circulation. 1999 Mar 23;99(11):1411-5.
Go to original source...
- Pyrgakis VN. Smoking and cardiovascular disease. Hellenic J Cardiol. 2009 May-Jun;50(3):231-4.
- Scholte op Reimer W, de Swart E, De Bacquer D, Pyörälä K, Keil U, Heidrich J, et al. Smoking behaviour in European patients with established coronary heart disease. Eur Heart J. 2006 Jan;27(1):35-41.
Go to original source...
Go to PubMed...
- Berndt N, Bolman C, Mudde A, Verheugt F, de Vries H, Lechner L. Risk groups and predictors of short-term abstinence from smoking in patients with coronary heart disease. Heart Lung. 2012 Jul-Aug;41(4):332-43.
Go to original source...
Go to PubMed...
- De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, et al. European guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of European and other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2003 Sep;24(17):1601-10.
Go to original source...
Go to PubMed...
- World Health Organization, Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health [Internet]. Geneva: WHO; 2008 [cited 2013 Sep 11]. Available from: http://whqlibdoc.who.int/publications/2008/9789241563703_eng.pdf.
- World Health Organization. The financial crisis and global health: report of a high-level consultation, Geneva, Switzerland, 19 January 2009. Geneva: WHO; 2009.
- Notara V, Koupidis SA, Vaga E, Grammatikopoulos IA. Economic crisis and challenges for the Greek healthcare system: the emergent role of nursing management. J Nurs Manag. 2010 Jul;18(5):501-4.
Go to original source...
Go to PubMed...
- Koren A, Steinberg DM, Drory Y, Gerber Y; Israel Study Group on First Acute Myocardial Infarction. Socioeconomic environment and recurrent coronary events after initial myocardial infarction.Ann Epidemiol. 2012 Aug;22(8):541-6.
Go to original source...
Go to PubMed...
- Pitsavos CE, Panagiotakos DB, Chrysohoou CA, Skoumas J, Stefanadis C, Toutouzas PK. Education and acute coronary syndromes: results from the CARDIO2000 epidemiological study. Bull World Health Organ. 2002;80(5):371-7.
Go to PubMed...
- Panagiotakos DB, Pitsavos C, KogiasY, MantasY, Zombolos S,AntonoulasA, et al. Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS). Neuropsychiatr Dis Treat. 2008Apr;4(2):425-32.
Go to original source...
- LammintaustaA,Airaksinen JK, Immonen-Räihä P, Torppa J, Kesäniemi AY, Ketonen M, et al.; FINAMI Study Group. Prognosis of acute coronary events is worse in patients living alone: the FINAMI myocardial infarction register. Eur J Prev Cardiol. 2013 Jan 30;21(8):989-996.
Go to original source...
Go to PubMed...
- Berkman LF, Blumenthal J, Burg M, Carney RM, Catellier D, Cowan MJ, et al.; Enhancing Recovery in Coronary Heart Disease Patients Investigators (ENRICHD). Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. JAMA. 2003 Jun 18;289(23):3106-16.
Go to original source...
- Aboa-Eboulé C, Brisson C, Maunsell E, Mâsse B, Bourbonnais R, Vézina M, et al. Job strain and risk of acute recurrent coronary heart disease events. JAMA. 2007 Oct 10;298(14):1652-60.
Go to original source...
- European Heart Health Charter. Part II: Signatories recognise that [Internet]. Sophia Antipolis: European Society of Cardiology; 2007 [cited 2014April 15].Available from: http://www.heartcharter.org/read-charter/part-2.aspx.