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Background: As primary prevention against cardiovascular diseases, Patient Therapeutic Education helps to develop a protective lifestyle within a socioeconomic context where risk factors abound., Patients and Methods: Patient Therapeutic Education offers those eager to protect their cardiovascular health a program of six workshops. Upon enrolment, a Program aide conducts an educational diagnosis with the patient, specific to each workshop theme, so that he might understand the clinical, socio-professional, cognitive and psycho-affective dimensions. An evaluation of each workshop is requested from participants in the form of open and closed questions., Results: The study comprised 2225people, majority women (79%), relatively old (age 63.9for women, 66.3for men), most often retired (65%). An analysis of the educational diagnosis notes a great frequency of classic risk factors; a good knowledge of the factors favoring them contrasting with the weak means implemented in everyday life to reduce their impact; the great majority of participants (68%) believe they have a well balanced diet; patients are greatly involved in their own health, with a slight external locus involving the general practitioner, the immediate entourage and society. The notes of the evaluation are usually maximum., Conclusion: Patient Therapeutic Education arouses strong interest in the public, allows a personalized approach that optimizes learning, increases knowledge and facilitates the use of new protective practices., (Copyright © 2018. Published by Elsevier Masson SAS.)

Background: Our patient therapeutic education program yields improvements in health after one year. But what can we see after 4 years, when the patient alone is responsible for following the program?, Patients and Methods: Two hundred and ninety-one patients participated in the first part of our study and were followed during one year. Four years into the ongoing study, we reviewed the progress of the first 200 patients. We compared the already published Risk Factors and Eating Habits scores between the beginning of the study (T0), one year later (T1) and after 4 years (T4)., Results: The Risk Factor score at T0 is 9.5±7.8, moving to 7±7.5 at T1, and then to 6.8±7.8 at T4 (P<0.001 between T0 and T1 and T0 and T4). Endurance physical activities saw the greatest improvement: 0.79±5 at T0, -1.07±4.5 at T1 and -1.61±4.5 at T4 (P<0.001 between T0 and T1 and T0 and T4). The Eating Habits score went from -18.2±7.3 to -22.2±6.4 and then to -23.5±6.4 (P<0.001 between T0 and T1 and T0 and T4). The best results were obtained through increased consumption of whole grains, green vegetables and fish., Conclusion: The positive results of the progress of risk factors and eating habits, noted after one year, are even greater four years after the end of the therapeutic education program., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Goal of the Study: Lifestyle improvement is useful in the prevention of cardiovascular disease, but its practical implementation in the general population is limited. Patient therapeutic education can help go beyond these limits., Patients and Methods: In primary prevention, we propose a personalized program including one or several individual and collective sessions to help the participants towards a healthier lifestyle. This includes better education about six risk factors (tobacco, sedentary lifestyle, overweight, high blood pressure, high cholesterol, diabetes) as well as advice on better eating habits. The first recommendation is to limit processed meats, the other recommendations advise more fish, green vegetables, whole grains and beans, and fruits. Scores are attributed to six risk factors and five eating habits. These scores are given at the time of the first session and again a year later, thus permitting time comparisons., Results: For the first 291 participants in the program, we observed at one year a significant improvement in physical activities of endurance and in the consumption of the recommended food groups (fish, green vegetables, fruits, whole grains and beans)., Conclusion: The patient's lifestyle has improved as a whole, certain parameters more than others. Assessed patient therapeutic education should be offered to a larger number of people., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)

Cardiovascular diseases are mainly caused by atherosclerosis, the development of which is highly dependent on our Western lifestyle. Slowing this pathology depends on the reduction of risk factors such as hypercholesterolemia, high blood pressure, smoking, lack of physical activity, excess weight and diabetes. Drug treatment exists and is very effective, but too often they treat the immediate abnormality such as diabetes, high blood pressure and hypercholesterolemia and not the underlying causes: poor eating habits, lack of physical activity and excess weight. These have a negative impact on endothelial function, oxidative stress, and can trigger inflammation, arrythmias and thrombosis. Cardiovascular prevention must therefore target sedentary lifestyle, excess weight, and favor low-calorie, low-salt food and Mediterranean diet. The way this diet works begins to be understood and goes beyond simple cardiovascular prevention. Therapeutic education holds a growing and complementary role in the Public Health system which should call upon the strengths of all healthcare professionals., (Copyright © 2011. Published by Elsevier SAS.)

The global coverage of the patients having had an acute coronary syndrome requires the modification of their life hygiene. Six hundred and sixty-seven consecutive victims of this syndrome benefited from clinics by a nurse, aiming at decreasing their risk factors and to modify their food customs. The initial interrogation allows the collection of these items and every answer is transformed into a digital score. The patients being seen again every 6 months in consultation, progress was observed, not only for the control of the risk factors (the score passes from 6.4 to 5.1 P < 0.001) but also for that of the food customs (the score passes from 1.5 to 6, P < 0.001). The evolution of the patients was compared as they are (group 1, N = 216) or not (group 2, N = 448) followed regularly in consultation, on the basis of a voluntary service, with a follow-up of 20, 8 months. Three patients were lost sight. The patients of the group 1 have fewer cardiovascular events (17 patients with event vs 82, P < 0.02), in particular a cardiac insufficiency (2 vs 28, P < 0.01) or the other events bound to the atherosclerosis (13 vs 55, P < 0.02), They are less often hospitalised (14 vs 70, P < 0.001). The deaths are less frequent in group 1 (Curve of Kaplan-Meyer: P < 0.01; RR = 0.23; IC = 0.09-0.58. The bad hygiene of life, which led to the arisen of an acute coronary syndrome, can be corrected and this is translated by an improved prognosis.