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Volume 51, Issue 4, 2015

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Articles

Medicina (Kaunas) 2015; 51 (4): 240-6
DOI: 10.1016/j.medici.2015.05.004

Management of coronary artery disease patients in Latvia compared with practice in Central-Eastern Europe and globally: Analysis of the CLARIFY registry.

Andrejs Erglis 1,2,3
Iveta Mintāle 1,2
Gustavs Latkovskis 1,2,3
Inga Balode 4
Sanda Jēgere 1,2
Iveta Bajāre 2
Aldis Rozenbergs 2
Nicola Greenlaw 5
Roberto Ferrari 6
Philippe Gabriel Steg 7
1 Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia
2 Research Institute of Cardiology, University of Latvia, Riga, Latvia
3 Faculty of Medicine, University of Latvia, Riga, Latvia
4 Riga Stradins University, Riga, Latvia
5 Robertson Centre of Biostatistics, University of Glasgow, Glasgow, United Kingdom
6 Department of Cardiology and LTTA Centre, University Hospital of Ferrara and Maria Cecilia Hospital, GVM Care & Research, E.S. Health Science Foundation, Cotignola, Italy
7 INSERM U-1148 and University Paris Diderot, Paris, France
Keywords
Coronary artery disease
Latvia
Prevention
Risk factors

Management of outpatients with stable coronary artery disease (CAD) is important in secondary prevention. The objective was to describe differences in the characteristics of CAD patients in Latvia compared with other countries.
CLARIFY is an ongoing international, prospective, observational, longitudinal registry of outpatients with CAD. Data regarding treated outpatients with established CAD from the CLARIFY registry in Latvia (n=120) were compared with those from the rest of Central-Eastern Europe (CEE) (n=2888) and worldwide (n=33,163).
Patients in Latvia had a larger waist circumference (101 [95-109] vs. 99 [91-106] in CEE, 96.5 [88-105]cm worldwide; P=0.023 and P<0.001, respectively) and higher blood pressure (systolic: 138.28±17.13 vs. 133.77±16.47 in CEE and 130.97±16.65mm Hg worldwide, P=0.003 and P<0.001; diastolic: 82.98±8.58 vs. 80.01±9.61 in CEE and 77.22±9.97mm Hg worldwide, P Latvian CAD patients are well managed in terms of aspirin use and frequency of percutaneous coronary intervention. Control of obesity and high BP is poorer and needs further improvement.

Correspondence to A. Erglis Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Pilsonu 13, 1002 Riga, Latvia. E-mail address: a.a.erglis@stradini.lv

Received 29 April 2014, accepted 5 May 2015, available online 4 August 2015.

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