DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY)
Hypercholesterolemia is a proven risk factor for atherosclerotic cardiovascular diseases and for their complications.Aim. To assess the quality of diagnosis and treatment of patients with severe hypercholesterolemia (total cholesterol >6.2 mmol/L) in the real outpatient practice.Material and...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2015-09-01
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| Series: | Рациональная фармакотерапия в кардиологии |
| Subjects: | |
| Online Access: | https://www.rpcardio.online/jour/article/view/286 |
| _version_ | 1797232426083155968 |
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| author | A. I. Ershova A. N. Meshkov S. S. Yakushin M. M. Loukianov K. A. Moseychuk S. Yu. Martsevich A. V. Zagrebelnyy A. N. Vorobyev K. G. Pereverzeva E. A. Pravkina A. N. Kozminskiy S. A. Boytsov |
| author_facet | A. I. Ershova A. N. Meshkov S. S. Yakushin M. M. Loukianov K. A. Moseychuk S. Yu. Martsevich A. V. Zagrebelnyy A. N. Vorobyev K. G. Pereverzeva E. A. Pravkina A. N. Kozminskiy S. A. Boytsov |
| author_sort | A. I. Ershova |
| collection | DOAJ |
| description | Hypercholesterolemia is a proven risk factor for atherosclerotic cardiovascular diseases and for their complications.Aim. To assess the quality of diagnosis and treatment of patients with severe hypercholesterolemia (total cholesterol >6.2 mmol/L) in the real outpatient practice.Material and methods. All patients with a diagnosis of arterial hypertension, ischemic heart disease, chronic heart failure, atrial fibrillation applied to primary care physicians or cardiologists in one of the randomly selected out-patient clinic of Ryazan in March-May 2012 and included into the RECVASA registry were enrolled into the study group (n=1642).Results. The group of patients with severe hypercholesterolemia consisted of 561 (44%) patients at the age of 67 (59-75) years [Me (25% -75%)]. At that, diagnosis of hyperlipidemia was indicated only in 9% of outpatient cards. Data of one or more blood chemistries including low density cholesterol (LDC) levels were presented only in 7% of outpatient cards. 83.7% of patients with severe hypercholesterolemia were classified as patients at high or very high cardiovascular risk, but statins were recommended only to 17.8% of them. Statins were mainly recommended in moderate doses; only one patient took atorvastatin 40 mg per day. Blood LDC levels were examined only in 5% of patients during statins therapy; nobody of them reached target LDC levels.Conclusion. The study data revealed the presence of a high prevalence of severe hypercholesterolemia in patients with cardiovascular diseases and poor quality of diagnosis and treatment in these patients in the real outpatient practice. |
| first_indexed | 2024-03-08T14:05:37Z |
| format | Article |
| id | doaj.art-0ec2c2b76a8c48cc81f823224977165b |
| institution | Directory Open Access Journal |
| issn | 1819-6446 2225-3653 |
| language | English |
| last_indexed | 2024-04-24T16:00:05Z |
| publishDate | 2015-09-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj.art-0ec2c2b76a8c48cc81f823224977165b2024-04-01T07:43:24ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532015-09-0110661261610.20996/1819-6446-2014-10-6-612-616286DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY)A. I. Ershova0A. N. Meshkov1S. S. Yakushin2M. M. Loukianov3K. A. Moseychuk4S. Yu. Martsevich5A. V. Zagrebelnyy6A. N. Vorobyev7K. G. Pereverzeva8E. A. Pravkina9A. N. Kozminskiy10S. A. Boytsov11State Research Center for Preventive MedicineState Research Center for Preventive MedicineRyazan State Medical University named after academician I.P. PavlovState Research Center for Preventive MedicineRyazan State Medical University named after academician I.P. PavlovState Research Center for Preventive MedicineState Research Center for Preventive MedicineRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovState Research Center for Preventive MedicineHypercholesterolemia is a proven risk factor for atherosclerotic cardiovascular diseases and for their complications.Aim. To assess the quality of diagnosis and treatment of patients with severe hypercholesterolemia (total cholesterol >6.2 mmol/L) in the real outpatient practice.Material and methods. All patients with a diagnosis of arterial hypertension, ischemic heart disease, chronic heart failure, atrial fibrillation applied to primary care physicians or cardiologists in one of the randomly selected out-patient clinic of Ryazan in March-May 2012 and included into the RECVASA registry were enrolled into the study group (n=1642).Results. The group of patients with severe hypercholesterolemia consisted of 561 (44%) patients at the age of 67 (59-75) years [Me (25% -75%)]. At that, diagnosis of hyperlipidemia was indicated only in 9% of outpatient cards. Data of one or more blood chemistries including low density cholesterol (LDC) levels were presented only in 7% of outpatient cards. 83.7% of patients with severe hypercholesterolemia were classified as patients at high or very high cardiovascular risk, but statins were recommended only to 17.8% of them. Statins were mainly recommended in moderate doses; only one patient took atorvastatin 40 mg per day. Blood LDC levels were examined only in 5% of patients during statins therapy; nobody of them reached target LDC levels.Conclusion. The study data revealed the presence of a high prevalence of severe hypercholesterolemia in patients with cardiovascular diseases and poor quality of diagnosis and treatment in these patients in the real outpatient practice.https://www.rpcardio.online/jour/article/view/286hypercholesterolemiastatinsoutpatient practice |
| spellingShingle | A. I. Ershova A. N. Meshkov S. S. Yakushin M. M. Loukianov K. A. Moseychuk S. Yu. Martsevich A. V. Zagrebelnyy A. N. Vorobyev K. G. Pereverzeva E. A. Pravkina A. N. Kozminskiy S. A. Boytsov DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) Рациональная фармакотерапия в кардиологии hypercholesterolemia statins outpatient practice |
| title | DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) |
| title_full | DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) |
| title_fullStr | DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) |
| title_full_unstemmed | DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) |
| title_short | DIAGNOSIS AND TREATMENT OF PATIENTS WITH SEVERE HYPERCHOLESTEROLEMIA IN REAL OUTPATIENT PRACTICE (ACCORDING TO THE RECVASA REGISTRY) |
| title_sort | diagnosis and treatment of patients with severe hypercholesterolemia in real outpatient practice according to the recvasa registry |
| topic | hypercholesterolemia statins outpatient practice |
| url | https://www.rpcardio.online/jour/article/view/286 |
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