| Autor: |
Rondina, Matthew T., Zebrack, James S. |
| Předmět: |
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| Zdroj: |
Preventive Cardiology; Winter2005, Vol. 8 Issue 1, p18-22, 5p, 2 Charts |
| Abstrakt: |
National Cholesterol Education Program (NCEP) guidelines recommend low-density lipoprotein cholesterol (LDL-C)levels <100 mg/dL for patients with coronary artery disease (CAD) and lipid-lowering therapy if LDL-C remains > 100-130 mg/dL after dietary intervention. Studies consistently report that the majority of CAD patients do not achieve NCEP goals in clinical practice;we sought to determine if our practice fared better. We performed a retrospective chart review of 600 CAD patients followed by cardiologists. The mean age was 69, and 66% of patients were male. Of persons with a cardiology clinic lipid profile (60%), most (76%) achieved an LDL-C < 100 mg/dL; however, only 61% were treated to the NCEP secondary goal of non--HDL-C < 130 mg/dL. Of patients not at an LDL-C goal, 81%were on lipid-lowering therapy, but only 18% were on maximal statin doses and 6% on combination therapy. We concluded that the majority of CAD patients have had recent lipid measurements and are treated according to NCEP guidelines, but many patients remain on suboptimal therapy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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