Dr Kotseva: The results show that, despite the existence of clear, evidence-based guidelines, their integration into routine clinical care is still disappointing, and there is still much room to raise the standards of preventive cardiology throughout Europe.' EUROASPIRE IV 7988 coronary patients in 24 countries ESC Amsterdam 2013 Rate of obesity sharply rising: 57 % central obesity Increase diabetes mellitus: now 40% (13% undiagnosed) Smoking rates constant: 18.2 % Physical activity constant 45 % blood pressure above target Lipid levels: 33 % above target
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