Screening for Glucose Perturbations and Risk Factor Management in Dysglycemic Patients With Coronary Artery Disease—A Persistent Challenge in Need of Substantial Improvement: A Report From ESC EORP EUROASPIRE V
Giulia Ferrannini(Karolinska University Hospital), Dirk De Bacquer(European Society of Cardiology), Guy De Backer(European Society of Cardiology), Kornelia Kotseva(Ollscoil na Gaillimhe – University of Galway), Linda Mellbin(Karolinska University Hospital), David Wood(Ollscoil na Gaillimhe – University of Galway), Lars Rydén(Karolinska University Hospital), EUROASPIRE V collaborators, Chris P Gale, Branko Beleslin, Andrzej Budaj, Ovidiu Chioncel, Nikolaos Dagres, Nicolas Danchin(Ollscoil na Gaillimhe – University of Galway), David Erlinge, Jonathan Emberson, Michael Glikson, Alastair Gray, Meral Kayıkçıoğlu, Aldo P. Maggioni, Klaudia Vivien Nagy, Aleksandr Nedoshivin, Anna-Sonia Petronio, Jolien W. Roos‐Hesselink(Karolinska University Hospital), Lars Wallentin, Uwe Zeymer(Ollscoil na Gaillimhe – University of Galway), Kornelia Kotseva(Ollscoil na Gaillimhe – University of Galway), Guy De Backer(European Society of Cardiology), Ana Abreu, Carlos Aguíar, Jolita Badarienė, Jan Bruthans, Almudena Castro Conde, Renata Cífková, Jim Crowley, Kairat Davletov(European Society of Cardiology), Dirk De Bacquer(European Society of Cardiology), Delphine De Smedt, Johan De Sutter, Jaap W. Deckers, Mirza Dilić, Maryna Dolzhenko, H. Druais, Vilnis Dzērve, Andrejs Ērglis, Zlatko Fras, Dan Gaiță, Nina Gotcheva(European Society of Cardiology), Diederick E. Grobbee(Ollscoil na Gaillimhe – University of Galway), Viveca Gyberg, Hosam Hasan Ali, Peter U. Heuschmann, Arno W. Hoes, Piotr Jankowski, Nebojša Lalić, Seppo Lehto, Dragan Lović, S. Mancas, Pedro Marques‐Vidal(Karolinska University Hospital), Linda Mellbin(Karolinska University Hospital), Davor Miličić, Erkin М Мirrakhimov, Oganov Rg, Nana Pogosova, Željko Reiner(Karolinska University Hospital), Lars Rydén(Karolinska University Hospital), Martin Stagmo, Stefan Störk, Jouko Sundvall, Lâle Tokgözoğlu, Costas Tsioufis, Duško Vulić(Ollscoil na Gaillimhe – University of Galway), David Wood(Ollscoil na Gaillimhe – University of Galway), Arno W. Hoes, Catriona Jennings, Agnieszka Adamska(Ollscoil na Gaillimhe – University of Galway), S. Adamska, L.J. Tuomilehto(Ollscoil na Gaillimhe – University of Galway), Oliver Schnell(Karolinska University Hospital), Laura Råman(Karolinska University Hospital), Anne‐Marie Willems(Karolinska University Hospital), Michel De Pauw, Pieter Vervaet, Jessa Ziekenhuis, J. Bollen(Karolinska University Hospital), E. Dekimpe(Karolinska University Hospital), N. Mommen(European Society of Cardiology), G. Van Genechten, Paul Dendale, Audrey Bouvier, Patrick Chenu(Ollscoil na Gaillimhe – University of Galway), D. Huyberechts, Alexandre Persu, Alden Begić, Azra Durak-Nalbantić, Alen Džubur(Karolinska University Hospital), N. Hadzibegic, Amer Iglica(Ollscoil na Gaillimhe – University of Galway), S. Kapidjic, A. Osmanagic Bico(Karolinska University Hospital), Nerma Resić(Karolinska University Hospital), Nirvana Šabanović-Bajramović(Karolinska University Hospital), Faris Zvizdić(Ollscoil na Gaillimhe – University of Galway), Tamara Kovačević-Preradović(Ollscoil na Gaillimhe – University of Galway), S. Popovic-Pejicic(Ollscoil na Gaillimhe – University of Galway), Danijel Djekic(Ollscoil na Gaillimhe – University of Galway), T. Gnjatic(Ollscoil na Gaillimhe – University of Galway), Tamara Knežević(Karolinska University Hospital), Ljiljana Kos(Ollscoil na Gaillimhe – University of Galway), S. Popovic-Pejicic(Karolinska University Hospital), Bojan Stanetić(European Society of Cardiology), G. Topic, B. Georgiev, A. Terziev(European Society of Cardiology), G. Vladimirov, A Angelov(Karolinska University Hospital), Branimir Kanazirev(Ollscoil na Gaillimhe – University of Galway), С.В. Николаева(Ollscoil na Gaillimhe – University of Galway), Dilyana Tonkova(Karolinska University Hospital), M. Vetkova, A. Bosnic(Karolinska University Hospital), Mia Dubravčić(Karolinska University Hospital), M. Glavina(Karolinska University Hospital), Marija Mance(Ollscoil na Gaillimhe – University of Galway), Saša Pavasović, Jure Samardžić(Ollscoil na Gaillimhe – University of Galway), Tonči Batinić(Ollscoil na Gaillimhe – University of Galway), K. Crljenko(Ollscoil na Gaillimhe – University of Galway), Diana Delić-Brkljačić(Ollscoil na Gaillimhe – University of Galway), K. Dula(Ollscoil na Gaillimhe – University of Galway), Karlo Golubić(Ollscoil na Gaillimhe – University of Galway), Iva Klobučar(Ollscoil na Gaillimhe – University of Galway), Krešimir Kordić(Karolinska University Hospital), Nikola Kos(Karolinska University Hospital), Mislav Nedić(Ollscoil na Gaillimhe – University of Galway), D. Olujic(Ollscoil na Gaillimhe – University of Galway), V. Sedinic(Ollscoil na Gaillimhe – University of Galway), Tea Blažević, Ante Pašalić(Karolinska University Hospital), Marko Perčić, J. Sikic(Ollscoil na Gaillimhe – University of Galway), K. Hašplová, Pavel Šulc, Peter Wohlfahrt(Ollscoil na Gaillimhe – University of Galway), Otto Mayer(Karolinska University Hospital), Martina Cvíčela, Jan Filipovský, Július Gelžinský(Karolinska University Hospital), Markéta Hronová(Ollscoil na Gaillimhe – University of Galway), S. Bakery(Karolinska University Hospital), Eman Mosad, Hosny B. Hamed, A. Ibrahim, M Abdelfatah Elsharef, Emad Farah Kholef, Azhar Abdel–Fatah Mohamed Shehata(Karolinska University Hospital), Mostafa Youssef(Karolinska University Hospital), Ehab El-Hefny, Hoda M. Farid, Tamer Moustafa, M.S. Sobieh, Hamza Kabil, A. Abdelmordy(Karolinska University Hospital), E. Kiljander, P. Kiljander, Heli Koukkunen, Juha Mustonen(European Society of Cardiology), C. Cremer(Ollscoil na Gaillimhe – University of Galway), Stefan Frantz, Axel Haupt(European Society of Cardiology), Ulrich Hofmann(Ollscoil na Gaillimhe – University of Galway), Karin Ludwig, Hannes Melnyk(Karolinska University Hospital), Michel Noutsias(Ollscoil na Gaillimhe – University of Galway), W. Karmann(Ollscoil na Gaillimhe – University of Galway), Roland Prondzinsky(European Society of Cardiology), Christian Herdeg(Ollscoil na Gaillimhe – University of Galway), Tobias Hövelborn, A. Daaboul(Ollscoil na Gaillimhe – University of Galway), Tobias Geisler(Ollscoil na Gaillimhe – University of Galway), T.T. KELLER(Ollscoil na Gaillimhe – University of Galway), D. Sauerbrunn(Karolinska University Hospital), M. Walz-Ayed(European Society of Cardiology), Georg Ertl(Ollscoil na Gaillimhe – University of Galway), Rainer Leyh(Ollscoil na Gaillimhe – University of Galway), Tobias Ehlert(Karolinska University Hospital), Bernward Klocke, J. Krapp(Ollscoil na Gaillimhe – University of Galway), T. Ludwig, J. Käs(European Society of Cardiology), C. Starke(Ollscoil na Gaillimhe – University of Galway), Kathrin Ungethüm(Karolinska University Hospital), Martin Wagner(Ollscoil na Gaillimhe – University of Galway), Silke Wiedmann, P. Tolis(European Society of Cardiology), Georgia Vogiatzi(Karolinska University Hospital), Elias Sanidas(Ollscoil na Gaillimhe – University of Galway), Konstantinos Tsakalis, John Kanakakis, Athanasios Koutsoukis(Ollscoil na Gaillimhe – University of Galway), K Vasileiadis, John Zarifis(European Society of Cardiology), C. Karvounis(Ollscoil na Gaillimhe – University of Galway), Irene Gibson, Ailish Houlihan(European Society of Cardiology), C. Kelly(Karolinska University Hospital), Martin O’Donnell(Karolinska University Hospital), M. Bennati(Karolinska University Hospital), F Cosmi(Karolinska University Hospital), Beatrice Mariottoni(Karolinska University Hospital), M. Morganti, Antonio Cherubini, Andrea Di Lenarda(Ollscoil na Gaillimhe – University of Galway), Donatella Radini(Karolinska University Hospital), Federica Ramani, Maura Francese, Michele Massimo Gulizia(Ollscoil na Gaillimhe – University of Galway), D. Pericone(Ollscoil na Gaillimhe – University of Galway), K. Aigerim, Z. Bekbolat(Karolinska University Hospital), B Amirov(Karolinska University Hospital), Batyrbek Assembekov(Karolinska University Hospital), E. Chernokurova(Karolinska University Hospital), F Ibragimova, Almat Kodasbayev, Alexandra Markova, A. Asanbaev(European Society of Cardiology), Ulan M. Toktomamatov(Karolinska University Hospital), M. Tursunbaev(European Society of Cardiology), U. Zakirov(Ollscoil na Gaillimhe – University of Galway), S. Abilova(Ollscoil na Gaillimhe – University of Galway), Rano Arapova(Karolinska University Hospital), E. Bektasheva, J. Esenbekova(Ollscoil na Gaillimhe – University of Galway), K Neronova(Ollscoil na Gaillimhe – University of Galway), K. Baigaziev(European Society of Cardiology), Г. М. Баитова(Ollscoil na Gaillimhe – University of Galway), T. Zheenbekov(Ollscoil na Gaillimhe – University of Galway), T. Andrejeva(Ollscoil na Gaillimhe – University of Galway), Iveta Bajāre(European Society of Cardiology), G. Kucika, A. Labuce(Karolinska University Hospital), L. Putane(Karolinska University Hospital), M. Stabulniece(Karolinska University Hospital), E. Klavins(Ollscoil na Gaillimhe – University of Galway), Iveta Sime(Karolinska University Hospital), L. Gedvilaite(Ollscoil na Gaillimhe – University of Galway), D. Pečiuraite(Ollscoil na Gaillimhe – University of Galway), Virginija Šileikienė(Karolinska University Hospital), E. Skiauteryte(Ollscoil na Gaillimhe – University of Galway), Svetlana Solovjova(Ollscoil na Gaillimhe – University of Galway), R. Sidabraite(Ollscoil na Gaillimhe – University of Galway), Kasparas Briedis(Ollscoil na Gaillimhe – University of Galway), Indrė Čeponienė(Karolinska University Hospital), Martynas Jurėnas, Justas Keršulis(European Society of Cardiology), G. Martinkute, Audronė Vaitiekienė(Ollscoil na Gaillimhe – University of Galway), Kristina Vasiljevaitė(Ollscoil na Gaillimhe – University of Galway), R. Veisaite, Jurgita Plisienė(Ollscoil na Gaillimhe – University of Galway), V. Šiurkaitė, Žilvinas Vaičiulis(Ollscoil na Gaillimhe – University of Galway), Danuta Czarnecka, Paweł Kozieł, Piotr Podolec, Jadwiga Nessler, Piotr Gomuła(Karolinska University Hospital), Ewa Mirek-Bryniarska, Piotr Bogacki, Andrzej Wiśniewski, Andrzej Pająk(Ollscoil na Gaillimhe – University of Galway), Renata Wolfshaut–Wolak, J. Bućko(Ollscoil na Gaillimhe – University of Galway), Karol Kamiński(Karolinska University Hospital), Magda Łapińska(Karolinska University Hospital), Marlena Paniczko, Andrzej Raczkowski(Karolinska University Hospital), Emilia Sawicka, Zofia Stachurska(Karolinska University Hospital), Małgorzata Szpakowicz(Ollscoil na Gaillimhe – University of Galway), W Musiał(Ollscoil na Gaillimhe – University of Galway), Sławomir Dobrzycki, Jerzy Bychowski(Ollscoil na Gaillimhe – University of Galway), Dariusz A. Kosior, Agnieszka Krzykwa(Karolinska University Hospital), Małgorzata Setny, Arkadiusz Rak, Zbigniew Gąsior(Karolinska University Hospital), Maciej Haberka(Ollscoil na Gaillimhe – University of Galway), Karolina Szóstak-Janiak(Karolinska University Hospital), M. Finik, J. Liszka, Ana Botelho(Karolinska University Hospital), Maria Luz Cachulo, José Américo Gomides de Sousa, A. Pais, A Durazzo(Ollscoil na Gaillimhe – University of Galway), Daniel Matos(Ollscoil na Gaillimhe – University of Galway), Raquel Gouveia(European Society of Cardiology), Guilherme Silva Rodrigues(European Society of Cardiology), C Strong(Ollscoil na Gaillimhe – University of Galway), Rui Guerreiro, Carlos Aguíar(Karolinska University Hospital), Martha L. Cruz, Pedro Daniel(Karolinska University Hospital), Lucas Bittar de Morais(Ollscoil na Gaillimhe – University of Galway), Rafaella Pessoa Moreira(Ollscoil na Gaillimhe – University of Galway), Suélia de Siqueira Rodrigues Fleury Rosa(Ollscoil na Gaillimhe – University of Galway), Sónia Rodrigues(Karolinska University Hospital), Mafalda Selas, A. Apostu(Ollscoil na Gaillimhe – University of Galway), Oana Catalina Cosor(Karolinska University Hospital), L. Gaita(Karolinska University Hospital), L. Giurgiu(European Society of Cardiology), C. Hudrea(Ollscoil na Gaillimhe – University of Galway), Daniela Maximov(Karolinska University Hospital), Bogdan Moldovan(Ollscoil na Gaillimhe – University of Galway), Svetlana Moșteoru(Ollscoil na Gaillimhe – University of Galway), Roxana Pleavă(Karolinska University Hospital), M Ionescu(Ollscoil na Gaillimhe – University of Galway), Irinel-Raluca Parepa, A. G. Arutyunov, A. K. Ausheva(Ollscoil na Gaillimhe – University of Galway), С. С. Исакова, А. В. Карпова, A. O. Salbieva(Ollscoil na Gaillimhe – University of Galway), O. Y. Sokolova, A. Vasilevsky(European Society of Cardiology), Yu. M. Pozdnyakov(Ollscoil na Gaillimhe – University of Galway), О. Н. Антропова(Karolinska University Hospital), L. Borisova(Ollscoil na Gaillimhe – University of Galway), И. В. Осипова(Karolinska University Hospital), Milica Aleksić(Karolinska University Hospital), Bogdan Crnokrak, J. Hadzi Djokic(Ollscoil na Gaillimhe – University of Galway), Saša Hinić(Ollscoil na Gaillimhe – University of Galway), T. Vukasin(Karolinska University Hospital), Marija Zdravković, Aleksandra Jotić(Ollscoil na Gaillimhe – University of Galway), Katarina Lalić(Karolinska University Hospital), Ljiljana Lukić(Ollscoil na Gaillimhe – University of Galway), Tanja Miličić(Karolinska University Hospital), Marija Maćešić, J. StanarcicGajovic(Karolinska University Hospital), Milica Stoiljković(Ollscoil na Gaillimhe – University of Galway), Dragan Djordjević(Ollscoil na Gaillimhe – University of Galway), S. Kostić(Ollscoil na Gaillimhe – University of Galway), I. Tasić, Ana Vuković(Karolinska University Hospital), Borut Jug, A. Juhant, A. Krt(European Society of Cardiology), U. Kugonjič(Ollscoil na Gaillimhe – University of Galway), David Chipayo Gonzales, José Javier Gómez-Barrado, Zineb Kounka(European Society of Cardiology), Germán Gómez, María Victoria Mogollón Jiménez(European Society of Cardiology), Carolina Ortíz Cortés, Paloma Pérez Espejo(European Society of Cardiology), Y. Porras Ramos(Ollscoil na Gaillimhe – University of Galway), Ricki J. Colman, J. Delgado(Karolinska University Hospital), Enrique Barrueco Otero, Antonio Pérez, M. Rosa Fernández-Olmo, Javier Torres-Llergo(European Society of Cardiology), C. Vasco(Karolinska University Hospital), E. Barreñada, Javier Botas(Ollscoil na Gaillimhe – University of Galway), Raquel Campuzano(European Society of Cardiology), Y. González(Karolinska University Hospital), P. Rodrigo(European Society of Cardiology), Carmen de Pablo(Karolinska University Hospital), Elena Velasco(Ollscoil na Gaillimhe – University of Galway), S. Hernández(European Society of Cardiology), Cristina Arias Lozano, Paula González(Ollscoil na Gaillimhe – University of Galway), Regina Dalmau(Ollscoil na Gaillimhe – University of Galway), D. Hernández, Francisco Javier Irazusta, Andrea Vélez(European Society of Cardiology), C. Vindel, Juan José Gómez‐Doblas(Ollscoil na Gaillimhe – University of Galway), Victoria Garcia-Ruiz(Karolinska University Hospital), Luis M. Gómez(Karolinska University Hospital), María Gómez García(Karolinska University Hospital), Manuel F. Jiménez‐Navarro, Ana Isabel Molina-Ramos(Ollscoil na Gaillimhe – University of Galway), Domingo Marzal(European Society of Cardiology), Gonzalo Martínez(Ollscoil na Gaillimhe – University of Galway), Rafael Hernández Lavado, A. Vidal(Ollscoil na Gaillimhe – University of Galway), V. Boström-Nilsson(Karolinska University Hospital), Barbro Kjellström(Karolinska University Hospital), Bahira Shahim(Ollscoil na Gaillimhe – University of Galway), Stina Smetana(Ollscoil na Gaillimhe – University of Galway), O. Hansen(Karolinska University Hospital), E. Stensgaard-Nake, Aart J. Klijn, T.J.P. Mangus, Ron Peters(Ollscoil na Gaillimhe – University of Galway), Wilma Scholte op Reimer(Karolinska University Hospital), Marjolein Snaterse(Ollscoil na Gaillimhe – University of Galway), S. Aydoğdu(European Society of Cardiology), Çetin Erol(Ollscoil na Gaillimhe – University of Galway), Sezgin Öztürk(European Society of Cardiology), Cansın Tulunay Kaya(European Society of Cardiology), Y. Ahmetoğlu(Ollscoil na Gaillimhe – University of Galway), O Ergene(Karolinska University Hospital), Bahri Akdeniz(Ollscoil na Gaillimhe – University of Galway), D Cirgamis(Ollscoil na Gaillimhe – University of Galway), S. Akkoyun H. Kültürsay(Karolinska University Hospital), Meral Kayıkçıoğlu, Alp Burak Çatakoğlu, Atiye Çengel, Ajar Koçak, M.A. Ağırbaşlı(European Society of Cardiology), Gönül Açıksarı(Karolinska University Hospital), Muhammed Esad Çekin(European Society of Cardiology), Elif Kaya(Ollscoil na Gaillimhe – University of Galway), Duygu Koçyiğit, Zeki Öngen(Karolinska University Hospital), Emre Özmen(Ollscoil na Gaillimhe – University of Galway), Vedat Sansoy, Ayşem Kaya(Ollscoil na Gaillimhe – University of Galway), Veysel Oktay, Ahmet Temizhan(Ollscoil na Gaillimhe – University of Galway), Sefa Ünal(Ollscoil na Gaillimhe – University of Galway), İdris Yakut(Ollscoil na Gaillimhe – University of Galway), Ali Kemal Kalkan(Karolinska University Hospital), Engin Bozkurt, Hacı Ahmet Kasapkara(European Society of Cardiology), C. Faradzh(Karolinska University Hospital), L. M. Hrubyak(Karolinska University Hospital), L. Konoplianyk(Karolinska University Hospital), N. Kozhuharyova(Karolinska University Hospital), L. Ye. Lobach(Ollscoil na Gaillimhe – University of Galway), V. Nesukai(Ollscoil na Gaillimhe – University of Galway), Oleksandr O. Nudchenko(Ollscoil na Gaillimhe – University of Galway), T V Simagina(Karolinska University Hospital), L.F. Yakovenko(Ollscoil na Gaillimhe – University of Galway), V. Je. Azarenko(Ollscoil na Gaillimhe – University of Galway), V. Potabashny, Andriy Bazylevych(Karolinska University Hospital), M. Bazylevych(Ollscoil na Gaillimhe – University of Galway), Katarzyna Kamińska(Karolinska University Hospital), Panchenko Lf(Ollscoil na Gaillimhe – University of Galway), O. Shershnyova(Ollscoil na Gaillimhe – University of Galway), T. Ovrakh(Ollscoil na Gaillimhe – University of Galway), S. A. Serik(Ollscoil na Gaillimhe – University of Galway), T. Kolesnik, Г.А. Косова, A. Hoye P. Atkin(Ollscoil na Gaillimhe – University of Galway), D. Fellowes(Ollscoil na Gaillimhe – University of Galway), Suzanne Lindsay(European Society of Cardiology), Charlotte Atkinson(European Society of Cardiology), C. Kranilla(Karolinska University Hospital), M. Vinod, H Abbass(Karolinska University Hospital), N. Rhoualmi(European Society of Cardiology), Y. Beerachee(European Society of Cardiology), C. Bennett(Karolinska University Hospital), Matthew R. Broome, Angela Gono Bwalya, Lindsay Caygill(Karolinska University Hospital), L. Dinning, Alexander Gillespie(Ollscoil na Gaillimhe – University of Galway), R. Goodfellow(European Society of Cardiology), Julien Guy(Ollscoil na Gaillimhe – University of Galway), T. Idress(European Society of Cardiology), Charlotte Mills(European Society of Cardiology), Cindy Morgan(Karolinska University Hospital), N. Oustance(Karolinska University Hospital), Narendra Singh(Karolinska University Hospital), M. Yare, Jayathri Jagoda, Helen Bowyer(Ollscoil na Gaillimhe – University of Galway), Victoria Christenssen, AM Groves, A. Jan, Amna Riaz(Karolinska University Hospital), Max Gill, T Sewell(Ollscoil na Gaillimhe – University of Galway), Diana A. Gorog(Karolinska University Hospital), Mark Baker, P. De Sousa(Ollscoil na Gaillimhe – University of Galway), T. Mazenenga, Jody Porter(Karolinska University Hospital), F. Haines(Ollscoil na Gaillimhe – University of Galway), Tim Peachey, J. Taaffe(Ollscoil na Gaillimhe – University of Galway), Kristen J. Wells, David P Ripley, H. Forward, H McKie, Sara Pick, Huw B. Thomas, Phillip D Batin(Ollscoil na Gaillimhe – University of Galway), D. Exley(Ollscoil na Gaillimhe – University of Galway), T. Rank, Jim Wright, A Kardos, S.-B. Sutherland(Karolinska University Hospital), L. Wren, P.A. Leeson(Ollscoil na Gaillimhe – University of Galway), David J. Barker(Karolinska University Hospital), B. Moreby, Janet K. Sawyer, James Stirrup(Karolinska University Hospital), Margaret Brunton, Adrian Brodison, J. Craig(Ollscoil na Gaillimhe – University of Galway), SAE Peters(Ollscoil na Gaillimhe – University of Galway), Raffi Kaprielian, A. Bucaj(Ollscoil na Gaillimhe – University of Galway), Kanta Mahay(Karolinska University Hospital), Maja Ravnik Oblak(European Society of Cardiology), Chris P Gale(Karolinska University Hospital), Maurice Pye(European Society of Cardiology), Yvonne McGill, H. Redfearn(Karolinska University Hospital), M. E. Fearnley
Cited by 79Open Access
Abstract
OBJECTIVE Dysglycemia, in this survey defined as impaired glucose tolerance (IGT) or type 2 diabetes, is common in patients with coronary artery disease (CAD) and associated with an unfavorable prognosis. This European survey investigated dysglycemia screening and risk factor management of patients with CAD in relation to standards of European guidelines for cardiovascular subjects. RESEARCH DESIGN AND METHODS The European Society of Cardiology’s European Observational Research Programme (ESC EORP) European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) V (2016–2017) included 8,261 CAD patients, aged 18–80 years, from 27 countries. If the glycemic state was unknown, patients underwent an oral glucose tolerance test (OGTT) and measurement of glycated hemoglobin A1c. Lifestyle, risk factors, and pharmacological management were investigated. RESULTS A total of 2,452 patients (29.7%) had known diabetes. OGTT was performed in 4,440 patients with unknown glycemic state, of whom 41.1% were dysglycemic. Without the OGTT, 30% of patients with type 2 diabetes and 70% of those with IGT would not have been detected. The presence of dysglycemia almost doubled from that self-reported to the true proportion after screening. Only approximately one-third of all coronary patients had completely normal glucose metabolism. Of patients with known diabetes, 31% had been advised to attend a diabetes clinic, and only 24% attended. Only 58% of dysglycemic patients were prescribed all cardioprotective drugs, and use of sodium–glucose cotransporter 2 inhibitors (3%) or glucagon-like peptide 1 receptor agonists (1%) was small. CONCLUSIONS Urgent action is required for both screening and management of patients with CAD and dysglycemia, in the expectation of a substantial reduction in risk of further cardiovascular events and in complications of diabetes, as well as longer life expectancy.
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