Amélioration du pronostic des syndromes coronaires aigus dans les Landes par la modification de l'hygiène de vie

Abstract: 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. [Copyright &y& Elsevier]