Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital
Lipid goal attainment studies in Asian patients with acute coronary syndrome (ACS) are limited. The objectives of this study were to determine low-density lipoprotein cholesterol (LDL-C) goal attainment rate at 4 months, and to examine prescription behavior influencing lipid goal attainment in Asian...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2013-01-01
|
Series: | Clinical Medicine Insights: Cardiology |
Online Access: | https://doi.org/10.4137/CMC.S11488 |
_version_ | 1819227198636163072 |
---|---|
author | Calvin W Chin F Gao TT Le RS Tan |
author_facet | Calvin W Chin F Gao TT Le RS Tan |
author_sort | Calvin W Chin |
collection | DOAJ |
description | Lipid goal attainment studies in Asian patients with acute coronary syndrome (ACS) are limited. The objectives of this study were to determine low-density lipoprotein cholesterol (LDL-C) goal attainment rate at 4 months, and to examine prescription behavior influencing lipid goal attainment in Asian patients with ACS. A retrospective analysis of 267 patients with ACS was performed. The mean follow-up duration was 41.2 ± 10.7 months. LDL-C goal attainment rate was highest at 4 months (36.7%) but declined progressively throughout follow-up. More than 85% of patients were discharged with equipotent statin dose of 2 (equivalent to simvastatin 20 mg) or less. In patients who did not attain LDL-C goals, the statin dose remained low throughout follow-up because of a lack in responsive dose titration. Aggressive lipid-lowering therapy should be initiated early to improve goal attainment in these high-risk patients. |
first_indexed | 2024-12-23T10:37:35Z |
format | Article |
id | doaj.art-40dba0c51eb244abba0c55dc49e7aeb5 |
institution | Directory Open Access Journal |
issn | 1179-5468 |
language | English |
last_indexed | 2024-12-23T10:37:35Z |
publishDate | 2013-01-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Clinical Medicine Insights: Cardiology |
spelling | doaj.art-40dba0c51eb244abba0c55dc49e7aeb52022-12-21T17:50:15ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682013-01-01710.4137/CMC.S11488Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary HospitalCalvin W Chin0F Gao1TT Le2RS Tan3Department of Cardiology, National Heart Center Singapore, Singapore.Department of Cardiology, National Heart Center Singapore, Singapore.Department of Cardiology, National Heart Center Singapore, Singapore.Department of Cardiology, National Heart Center Singapore, Singapore.Lipid goal attainment studies in Asian patients with acute coronary syndrome (ACS) are limited. The objectives of this study were to determine low-density lipoprotein cholesterol (LDL-C) goal attainment rate at 4 months, and to examine prescription behavior influencing lipid goal attainment in Asian patients with ACS. A retrospective analysis of 267 patients with ACS was performed. The mean follow-up duration was 41.2 ± 10.7 months. LDL-C goal attainment rate was highest at 4 months (36.7%) but declined progressively throughout follow-up. More than 85% of patients were discharged with equipotent statin dose of 2 (equivalent to simvastatin 20 mg) or less. In patients who did not attain LDL-C goals, the statin dose remained low throughout follow-up because of a lack in responsive dose titration. Aggressive lipid-lowering therapy should be initiated early to improve goal attainment in these high-risk patients.https://doi.org/10.4137/CMC.S11488 |
spellingShingle | Calvin W Chin F Gao TT Le RS Tan Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital Clinical Medicine Insights: Cardiology |
title | Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital |
title_full | Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital |
title_fullStr | Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital |
title_full_unstemmed | Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital |
title_short | Lipid Goal Attainment and Prescription Behavior in Asian Patients with Acute Coronary Syndromes: Experience from a Tertiary Hospital |
title_sort | lipid goal attainment and prescription behavior in asian patients with acute coronary syndromes experience from a tertiary hospital |
url | https://doi.org/10.4137/CMC.S11488 |
work_keys_str_mv | AT calvinwchin lipidgoalattainmentandprescriptionbehaviorinasianpatientswithacutecoronarysyndromesexperiencefromatertiaryhospital AT fgao lipidgoalattainmentandprescriptionbehaviorinasianpatientswithacutecoronarysyndromesexperiencefromatertiaryhospital AT ttle lipidgoalattainmentandprescriptionbehaviorinasianpatientswithacutecoronarysyndromesexperiencefromatertiaryhospital AT rstan lipidgoalattainmentandprescriptionbehaviorinasianpatientswithacutecoronarysyndromesexperiencefromatertiaryhospital |