M.511 Treatment of high risk patients with ezetimibe plus simvastatin coadministration versus simvastatin alone to attain national cholesterol education program adult treatment panel III low-density lipoprotein cholesterol goals

2004 ◽  
Vol 5 (1) ◽  
pp. 118
Author(s):  
T FELDMAN
Keyword(s):  
High Risk ◽  
Education Program ◽  
National Cholesterol Education Program ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Low Density ◽  
Adult Treatment ◽  
Adult Treatment Panel ◽  
Low Density Lipoprotein Cholesterol ◽  
Risk Patients

scholarly journals Achievement of low-density lipoprotein cholesterol goals in 18 countries outside Western Europe: The International ChoLesterol management Practice Study (ICLPS)

2018 ◽  
Vol 25 (10) ◽  
pp. 1087-1094 ◽  
Author(s):  
Nicolas Danchin ◽  
Wael Almahmeed ◽  
Khalid Al-Rasadi ◽  
Joseph Azuri ◽  
Abdelkrim Berrah ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
High Risk ◽  
Western Europe ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Low Density ◽  
Low Density Lipoprotein Cholesterol ◽  
Risk Patients ◽  
C Value ◽  
The Mean

Background Little is known about the achievement of low density lipoprotein cholesterol (LDL-C) targets in patients at cardiovascular risk receiving stable lipid-lowering therapy (LLT) in countries outside Western Europe. Methods This cross-sectional observational study was conducted in 452 centres (August 2015−August 2016) in 18 countries in Eastern Europe, Asia, Africa, the Middle East and Latin America. Patients ( n = 9049) treated for ≥3 months with any LLT and in whom an LDL-C measurement on stable LLT was available within the previous 12 months were included. Results The mean±SD age was 60.2 ± 11.7 years, 55.0% of patients were men and the mean ± SD LDL-C value on LLT was 2.6 ± 1.3 mmol/L (101.0 ± 49.2 mg/dL). At enrolment, 97.9% of patients were receiving a statin (25.3% on high intensity treatment). Only 32.1% of the very high risk patients versus 51.9% of the high risk and 55.7% of the moderate risk patients achieved their LDL-C goals. On multivariable analysis, factors independently associated with not achieving LDL-C goals were no (versus lower dose) statin therapy, a higher (versus lower) dose of statin, statin intolerance, overweight and obesity, female sex, neurocognitive disorders, level of cardiovascular risk, LDL-C value unknown at diagnosis, high blood pressure and current smoking. Diabetes was associated with a lower risk of not achieving LDL-C goals. Conclusions These observational data suggest that the achievement of LDL-C goals is suboptimal in selected countries outside Western Europe. Efforts are needed to improve the management of patients using combination therapy and/or more intensive LLTs.

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