Which statin worked best to achieve lipid level targets in a European registry? A post-hoc analysis of the EUROASPIRE III for coronary heart disease patients

OBJECTIVE: The objective of the study is to determine the proportion of patients within the subsample reaching the target lipid levels defined in the European guidelines, stratified according to type and dose of statin used

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 26(2014), 4 vom: 28. Okt., Seite 183-91
1. Verfasser: Alnouri, Fahad (VerfasserIn)
Weitere Verfasser: Wood, David, Kotseva, Kornelia, Ibrahim, Mohamed E A
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2014
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article AMI, Acute Myocardial Infarction CABG, Coronary Artery Bypass Graft CHD, Coronary Heart Disease CK, Creatine Kinase concentration CVD, Cardiovascular Diseases Coronary heart diseases EUROASPIRE III Lipid level PTCA, Percutaneous Transluminal Coronary Angioplasty mehr... Preventive cardiology Statin dose
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100 1 |a Alnouri, Fahad  |e verfasserin  |4 aut 
245 1 0 |a Which statin worked best to achieve lipid level targets in a European registry? A post-hoc analysis of the EUROASPIRE III for coronary heart disease patients 
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500 |a published: Print-Electronic 
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520 |a OBJECTIVE: The objective of the study is to determine the proportion of patients within the subsample reaching the target lipid levels defined in the European guidelines, stratified according to type and dose of statin used 
520 |a BACKGROUND: Many factors affect the attainment of lipid level targets including gender, age, compliance, statin type, and dosage. This study aimed to determine the percentage of post-interventional coronary heart disease (CHD) patients who met the lipid level targets recommended by the Joint European Societies Guidelines, the medications used, and their doses 
520 |a METHODS: A post-hoc analysis of a subsample of 2,000 patients from EUROASPIRE III database was selected randomly from patients who attended the interviews (between six months to three years after event). Further stratification according to type and dose of statin was performed 
520 |a RESULTS: The sample comprised 74.5% males, and two thirds (63.8%) of the entire sample were over 60 years of age. More women than men showed elevated total cholesterol (>4.5 mmol/l and >4.0 mmol/l), LDL-cholesterol (>2.5 mmol/l and >2.0 mmol/l), and triglycerides (>1.7 mmol/l). Atorvastatin was the most widely used at both discharge and interview (47.1% and 45.4%) than simvastatin (37.7% and 39.4%). A dose of 20 mg atorvastatin was used by 44.10% of patients, while those on fluvastatin used a higher dose: ⩾40 mg in 88.31%. Patients who achieved targeted total cholesterol levels for atorvastatin, fluvastatin, lovastatin and simvastatin showed a trend in dose increase. Pravastatin users who achieved the target were taking a dose of 10 mg (75%) and less were in the 20 mg group (33.33%). Rosuvastatin users who consumed 10 mg and ⩾40 mg dose achieved the lipid level targets by 61.82% and 66.67%, respectively 
520 |a CONCLUSION: Compliance with medications was high after a CHD incident in this European sample and the increase of the atorvastatin and simvastatin doses enabled the attainment of the target levels recommended 
650 4 |a Journal Article 
650 4 |a AMI, Acute Myocardial Infarction 
650 4 |a CABG, Coronary Artery Bypass Graft 
650 4 |a CHD, Coronary Heart Disease 
650 4 |a CK, Creatine Kinase concentration 
650 4 |a CVD, Cardiovascular Diseases 
650 4 |a Coronary heart diseases 
650 4 |a EUROASPIRE III 
650 4 |a Lipid level 
650 4 |a PTCA, Percutaneous Transluminal Coronary Angioplasty 
650 4 |a Preventive cardiology 
650 4 |a Statin dose 
700 1 |a Wood, David  |e verfasserin  |4 aut 
700 1 |a Kotseva, Kornelia  |e verfasserin  |4 aut 
700 1 |a Ibrahim, Mohamed E A  |e verfasserin  |4 aut 
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856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2014.04.005  |3 Volltext 
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