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Funding Acknowledgements Type of funding sources: None. Introduction A Mediterranean diet (MedDiet) is recommended in ESC guidelines to lower the risk of cardiovascular disease (CVD) and it’s part of the secondary prevention treatment in patients with coronary artery disease (CAD) Purposes To investigate the degree of adherence to the MedDiet in patients with CAD treated at a cardiac rehabilitation (CR) unit in Mallorca. To study wether the degree of adherence to the MedDiet correlates to any health-related characteristic of these patients. Methods Retrospective observational study. The degree of adherence to the MedDiet was measured using the 14-points MEDAS-14 questionnaire (validated in the PREDIMED study) administered by a trained nurse to patients with CAD referred to the CR program. A score of 0 to 8 points is considered low adherence, 9 or more is considered an acceptable adherence. We measured the relationship between the degree of adherence to the MedDiet and the presence cardiovascular risk factors, weight and body mass index (BMI), lipid and glycemic profile, and degrees of anxiety and depression measured by the hospital anxiety and depression scale (HADS). Results Since 2014, 485 patients with CAD have been treated in the CR program (83% of them after an acute coronary syndrome -ACS-). Their mean age was 56 ± 9 years and 84% were men. Their average weight was 85 ± 15 kg. The mean BMI was 29.2 ± 4 (44% overweight, 39% obese). The degree of adherence to MedDiet in these patients was low in 30% of patients and acceptable in 70%. The mean score obtained in the MEDAS-14 questionnaire was 9.3 ± 2,0 points. There were no significant differences in the degree of adherence to the MedDiet between men or women. Nor were significante differences whether or not the patient was diabetic, overweight or obese. Patients who had never smoked had greater adherence to the MedDiet (9.8±2 vs 9.1± 2, p: 0.02) and a higher percentage of them had an acceptable adherence compared to the smokers or former smokers (81 vs 67%, p: 0.01). The youngest patients (below the mean age of the group) had a worse adherence to the MedDiet (8.9 ± 3 vs 9.6 ± 2, p: 0.007) There were no significant differences in weight, BMI, LDL cholesterol, Triglycerides or HbA1c levels between patients with low and acceptable adherence to the MedDiet. Patients with high levels of anxiety or depression measured in HADS obtained similar scores of adherence to MedDiet to people who had a better psicosocial profile. Conclusions Patients with CAD treated in a CR unit in Mallorca have acceptable levels of adherence to the Mediterranean diet, better than those seen in the general population or in other CAD patient samples previously published (1,2). The information received at hospital discharge after a recent ACS could have already caused changes in the eating pattern. Young patients and smokers or former smokers have lower adherence to the MedDiet.

Funding Acknowledgements Type of funding sources: None. Background Women are less likely to be referred to a cardiac rehabilitation program (CRP) than men. Little is known about the different indications between genders and whether women who attend a CRP have different health characteristics from men. Purpose To study the differences between men and women in the frequency of referral to the only CRP in Mallorca (Spain), their indication and whether there were different health characteristics by gender among referred patients. Methods Retrospective observational study. We studied the indication, cardiovascular risk factors (CVRF), somatometric data, blood test and psychosocial health (by hospital anxiety and depression scale, HADS) of all patients referred to a CRP in Mallorca since the program was launched in 2014. Results 524 patients have been referred to the CRP. 18% (95) were women, with no differences in mean age compared to men (55.9 ± 11 vs 56.2 ± 10 years). Women were referred more frequently due to non-coronary diseases (20% vs 4%, p Among patients referred with coronary disease (485), only 15.7% (76) were women. The most frequent indication (84% in men and 80% in women) was an acute coronary syndrome (ACS), with similar percentages of NSTEACS and STEACS (women 43 and 57%, men 41 and 59%). Women were referred more frequently due to chronic coronary syndrome than men (17% vs 5%, p Among patients with coronary disease, women had less frequent history of smoking (64% vs 81%, p 0,05). Women didn’t have significant differences when compared to men in their levels of LDL cholesterol (73 ± 23 vs 76 ± 25), triglycerides (122 ± 64 vs 135 ± 72), HbA1c (6.2 ± 1% vs 6, 1 ± 3%), p>0,05. A lower percentage of women were overweight or obese (71% vs 85%, p Women with ischemic heart disease referred to the CRP had a higher degree of anxiety and depression measured in the HADS questionnaire (anxiety 9.2 ± 4 vs 7.0 ± 4, depression 6.7 ± 5 vs 5.1 ± 4, p 11 in HADS) was higher than for men (anxiety 44% vs 22%, depression 24% vs 13%, p Conclusions Only 18% of the patients referred to a CRP in Mallorca were women. This percentage was lower (15,8%) in patients with coronary disease referred to CRP. Women were referred in a higher percentage of cases than men for non-coronary pathology and chronic coronary syndrome. A lower percentage of women with coronary disease were smokers, overweighted or obese. Finally, a higher degree of anxiety and depression was observed among women than among men.

Funding Acknowledgements Type of funding sources: None. Objectives 1) To describe the indications and baseline characteristics of patients (p.) referred to the only cardiac rehabilitation (CR) center in Mallorca (Balearic Islands) and 2) Estimate of the volume of patients with indication of CR but not referred to a CR phase II program. Material and methods 1) Retrospective observational study. We studied the indication, cardiovascular risk factors (CVRF), somatometric data, blood test and hospital anxiety and depression scale (EHAD) of all consecutive patients attended in the only CR center in Mallorca. 2) Estimation based on the recommendations of the ESC guidelines and epidemiological data of CV disease in the Balearic Islands. Results Since 2014, 524 patients have attended the CR program. Their mean age was 56.2±10, 18% (95p.) women. The most frequent indication (79.2%, 415 p.) was acute coronary syndrome (ACS, 58% STEACS, 42% NSTEACS). The second most frequent indication was chronic coronary syndrome (7.8%, 41p.). In only 5% (26p.) the indication was heart failure (HF). Other indications were coronary artery bypass grafting (3.8%, 20p,), valve surgery (1.9%, 9p), heart transplantation (0.4%, 2p), congenital heart disease (0.4%, 2p). Among patients referred with any clinical expression of coronary disease (92.6%, 485p.), their mean age was 56.7±9, and only 15.7% (76) were women. Only 21% were non-smokers (neither smokers nor former smokers). The prevalence of hypertension, diabetes and dyslipidaemia were 56%, 26% and 63% respectively. 44% were overweight and 39% obese. At the beginning of the CR program 57% of patients had LDL cholesterol >70mg/dl and 80% >55mg/dl. 26% of coronary patients had EHAD scores indicative of significant anxiety (case) and 14.5% of patients had significant depression. Exercise-based CR is recommended by ESC guidelines after an ACS and in HF with depressed LVEF(1). In the Balearic Islands around 400p. are admitted annually with STEACS, 23% of them women(2). It is estimated that around 50% of acute myocardial infarctions are non-ST-elevation (3) so 400 more p. could have an indication for CR. Every year in the Balearic Islands about 2100 p. are admitted for HF (4), and it’s estimated that 50% of them have reduced LVEF(5). With all the reservations generated by this crude estimate, up to 1800 p. could have an indication for CR every year. The only existing CR center in Balearic Islands can treat 80 patients per year. Therefore, around 1700 patients with a possible indication for CR every year (95.6% of p.) have no access to it. Conclusion The most frequent indication for CR in the Balearic Islands is ACS, usually with ST elevation. Patients with HF are rarely referred to CR. Women are referred to CR less frequently than expected. We observed high percentages of smokers or former smokers, overweight or obese patients and patients with severe anxiety. The vast majority of patients with an indication for CR has no access to a CR program in Balearic Islands.