Lipid target achievement among patients with very high and high cardiovascular risk in a lipid clinic.

Abstract:

:This was a retrospective study that assessed achievement of lipid-lowering treatment targets in the setting of a University Hospital Lipid Clinic. Low-density lipoprotein cholesterol (LDL-C) goal attainment according to National Cholesterol Education Program-Adult Treatment Panel III (NCEP ATP III) and European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) guidelines was recorded in 1000 consecutive adult patients followed for ≥3 years (mean 8 years). The LDL-C targets according to the NCEP ATP III were attained by 66% and 86% of patients with "very high" (n = 477) and "high" (n = 408) cardiovascular risk, respectively. Fewer patients were within LDL-C goals according to the ESC/EAS guidelines: 25% and 42%. Overall, 92% of the patients were on statins: 67% were on statin monotherapy, while 33% were on combinations with ezetimibe (25%), ω-3 fatty acids (5%), fibrates (4%), or colesevelam (2%). Even in a specialist lipid clinic, a large proportion of patients are not at goal according to the recent ESC/EAS guidelines.

journal_name

Angiology

journal_title

Angiology

authors

Barkas F,Liberopoulos EN,Kostapanos MS,Liamis G,Tziallas D,Elisaf M

doi

10.1177/0003319714535073

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

346-53

issue

4

eissn

0003-3197

issn

1940-1574

pii

0003319714535073

journal_volume

66

pub_type

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