Contemporary Diagnosis and Management of Hypercholesterolemia in Elderly Acute Myocardial Infarction Patients: A Population‐Based Study

Berger, Alan K.; Duval, Sue; Armstrong, Carrie; Jacobs, David R.; Luepker, Russell V.

doi:10.1111/j.1076-7460.2007.04886.x

Cited by 6 publications

(1 citation statement)

References 28 publications

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“…Previous studies have examined compliance with secondary prevention recommendations but were limited to specific populations or the examination of a limited number of risk factors [26-30]. Muntner, et al demonstrated using 1999-2010 data from the National Health and Nutrition Examination Survey that many high-risk individuals had not achieved lipid goals [28].…”

Section: Discussionmentioning

confidence: 99%

Achievement of Optimal Medical Therapy Goals for U.S. Adults With Coronary Artery Disease

Brown

Voeks

Bittner

et al. 2014

Journal of the American College of Cardiology

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Objective In a non-clinical trial setting, to determine the proportion of individuals with coronary artery disease (CAD) with optimal risk factor levels based on the Clinical Outcomes Utilizing Revascularization and Aggressive DruG Evaluation (COURAGE) trial. Background In COURAGE, the addition of percutaneous coronary intervention (PCI) to optimal medical therapy did not reduce the risk of death or myocardial infarction in stable CAD patients but resulted in more revascularization procedures. Methods REGARDS is a national prospective cohort study of 30,239 African American and White community-dwelling individuals aged >45 years enrolled in 2003-7. We calculated the proportion of 3,167 participants with self-reported CAD meeting 7 risk factor goals based on COURAGE: 1) aspirin use, 2) systolic blood pressure <130 mmHg and diastolic blood pressure <85 mmHg (<80 mmHg if diabetic), 3) low density lipoprotein cholesterol <85 mg/dL, high density lipoprotein cholesterol >40 mg/dL, and triglycerides <150 mg/dL, 4) fasting glucose <126 mg/dL, 5) nonsmoking status, 6) body mass index <25 kg/m,2 and 7) exercise ≥4 days per week. Results The mean age of participants was 69±9 years, 33% were African American, and 35% were female. Overall, the median number of goals met was 4. Less than a quarter met ≥5 of the 7 goals, and 16% met all 3 goals for aspirin, blood pressure, and LDL-C. Older age, white race, higher income, more education, and higher physical functioning were independently associated with meeting more goals. Conclusions There is substantial room for improvement in risk factor reduction among US individuals with CAD.

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Section: Discussionmentioning

confidence: 99%