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RISK FACTOR AND LIFESTYLE CHANGES IN HIGH RISK PATIENTS: PP.23.442

Introduction: The surveys EUROASPIRE I (1995/1996) and II (2000/2001) indicated a high prevalence of unhealthy lifestyle, cardiovascular risk factors (cv RF) and their inadequate treatment. Objectives: The main purpose of this study is to determine the prevalence of cv RF in asymptomatic high risk patients from Romania. We aimed also to assess and to improve the implementation of ESC 2007 Prevention Guideline into current practice through lifestyle changes and drug therapy optimization. Material and Methods: we enrolled 325 patients (55,91 ± 9 years, 38% men). Inclusion criteria: high risk asymptomatic patients with antihypertensive and/or hypolipemiant and/or antidiabetic drugs from EUROASPIRE III Romania Primary Care Arm, aged less than 80, without documented atherosclerotic diseases. The patients were followed-up for 18 months by their general practitioners (GP), previously trained by cardiologists; at every 6 month, the GP's reinforced lifestyle changes, optimized drug therapy in order to reach the reccomended targets. At baseline and after 18 month we measured abdominal waist, blood pressure, lipids profile, fasting glucose and HbA1. Results: The number of patients who declared that they received and folowed GP's lifestyle reccomendations and their adhrece to lifestyle changes are listed in table 1. Table 1. The number of patients who declared that they received and folowed GP's lifestyle reccomendations Figure 1. No caption available. Conclusion: Periodical reinforcement of life style changes is efficient and improves high risk patients adherence to healthy eating habits. Prevention programmes focused on lifestyle changes are easy to conduct in primary care by GPs, even before drug therapy initiation.