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First baseline data by REACH supports and extends ESC's Euroaspire findings

While there are clear guidelines about the best way to treat cardiovascular risk factors such as high blood pressure and high cholesterol, the first large scale global study on cardiac care has revealed that there is a gap between what is recommended and what is practiced worldwide.

The study, published in the Journal of the American Medical Association (JAMA) (1), analyzes information collected by the Reduction of Atherothrombosis for Continued Health (REACH) Registry, the world's largest international database of patients with established atherothrombrosis or with a constellation of risk factors. REACH includes more than 67,800 heart patients, treated by more than 5,400 physicians in 44 countries.

More than 14% of all patients in the REACH registry are current tobacco users; 40% are overweight; 27% are obese and 44% have diabetes all of which are emerging as major contributors to aggressive cardiovascular disease. It is interesting to note that the study revealed Europeans as well as North Americans are overweight or obese.

The European Society of Cardiology's (ESC) Euroaspire I and II surveys (2) clearly indicated that cardiovascular risk factors are insufficiently managed in people with proven coronary disease in hospitals in Europe. REACH extends the Euroaspire findings in post MI European patients to include other groups of patients (patients in primary care, patients with cerebrovascular disease or peripheral arterial disease) and to other regions of the world (Asia, Middle East, Latin America).

"The REACH study has substantial implications for the prevention of cardiovascular diseases," said Professor Ian M. Graham, chairman of the ESC Joint European Societies Cardiovascular Prevention Committee. "The major risk factors for atherothrombotic disease had been known for many years. What is deeply concerning from the REACH Study is that even patients with atherothrombotic disease continue to carry a very heavy burden of hypert
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Contact: Lisa Abdolian
labdolian@escardio.org
33-49-294-8627
European Society of Cardiology
17-Jan-2006


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