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Background: Clinical guidelines recommend lifestyle modifications and medication use to control cardiovascular risk factors in coronary heart disease CHD patients. However, risk factor control remains challenging especially in patients with lower educational level. The easy-to-perform design of the survey facilitates its implementation in settings with limited resources.
We reported risk factor recording, attainment of guideline-defined risk factor targets, and treatment in CHD patients. Risk factor recording ranged from Most patients used cardioprotective medications and Higher education was positively associated with medication use and cardiac rehabilitation participation. Conclusion: CHD patients generally have poor attainment of risk factor targets, but patients with a higher educational level are generally more likely to participate in cardiac rehabilitation, use medication, and meet targets.
Coronary heart disease CHD is the leading cause of death and a major cause of disability worldwide [ 1 ]. The Global Burden of Disease Study estimates that there were 9. Most of the burden of CHD is attributable to risk factors, many of which are potentially modifiable or controllable through lifestyle changes and medication use [ 2 , 3 , 4 ]. People with established CHD are at very high cardiovascular risk [ 5 ].
Therefore, risk factor control through lifestyle modification and medical therapy is fundamental to reduce risk of cardiovascular events and mortality.