The aim of this observational study is to assess in patients with a documented athero-thrombotic event: coronary artery disease (CAD), cerebrovascular disease (CVD), peripheral artery disease (PAD): * the level of adherence to guideline recommendations with the assumption to improve the rate of patients at goal for cholesterol levels. * the level of adherence to guideline recommendations and the rate of patients at goal for the other relevant and modifiable risk factors for cardiovascular event recurrence.
Observational, prospective, multicenter study conducted in a large, representative sample of Italian cardiology centers. Phases: 1. First educational intervention to discuss the recommendations of guidelines for secondary prevention strategies. 2. Data collection for 3 months or up to 30 consecutive patients in patients with documented CAD/CVD/PAD on a web Case Record Form (CRF) generating warning on the most relevant guideline recommendations, and, when guidelines are not followed, asking the reason for non-adherence. 3. Evaluation of the primary and secondary end-points of the study at 6 months after enrollment. 4. Second educational intervention to share the results of the first enrollment period of the study focusing the attention on existing gaps between guidelines recommendations and clinical practice. 5. New data collection for 3 months or up to 30 consecutive patients in patients with documented CAD/CVD/PAD on a web CRF generating warning on the most relevant guideline recommendations, and, when guidelines are not followed, asking the reason for non-adherence. 6. Additional evaluation of the primary and secondary end-points of the study at 6 months after enrollment. 7. 12-month follow-up for all patients included in both enrolment phases.
Study Type
OBSERVATIONAL
Enrollment
6,000
Ospedale Barone Lombardo - Cardiologia E Utic
Canicattì, AG, Italy
NOT_YET_RECRUITINGOspedale San Giacomo D'Altopasso - Uoc Cardiologia
Licata, AG, Italy
RECRUITINGOspedale Santo Spirito - Sc Cardiologia
Casale Monferrato, AL, Italy
RECRUITINGOspedale San Giacomo - Sc Cardiologia
Novi Ligure, AL, Italy
Adherence to guideline for cholesterol level
Rate of patients at goal for LDL cholesterol (\<55 mg/dL)
Time frame: 6 months
Adherence to guideline for other risk factors
Rate of patients at goal for BP (SBP/DBP \< 130/80 mmHg) and at goal for HbA1c (\<7%) as well as rate of overweight patients (BMI \> 27 kg/m2) who show a weight loss of at least 10%
Time frame: 6 months
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Ospedali Riuniti - Clinica Di Cardiologia E Aritmologia
Ancona, AN, Italy
NOT_YET_RECRUITINGOspedali Riuniti - Sod Cardiologia Ospedaliera E Utic
Ancona, AN, Italy
NOT_YET_RECRUITINGCasa Di Cura Villa Serena - U.O. Cardiologia Riabilitativa
Iesi, AN, Italy
RECRUITINGOspedale Madonna Del Soccorso - Uoc Cardiologia Indirizzo Riabilitativo
San Benedetto del Tronto, AP, Italy
RECRUITINGOspedale San Donato - U.O.C Cardiologia
Arezzo, AR, Italy
RECRUITINGOspedale Valdichiana Santa Margherita - Uosd Cardiologia S.O. Cortona
Cortona, AR, Italy
RECRUITING...and 186 more locations