Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Long-term effects on cholesterol levels and the utilization of lipid-lowering drugs of a hospital-based programme for secondary prevention of coronary artery disease
Autore:
Stagmo, M; Westin, L; Carlsson, R; Israelsson, B;
Indirizzi:
Lund Univ, Univ Hosp, Dept Cardiol, S-20502 Malmo, Sweden Lund Univ Malmo Sweden S-20502 Hosp, Dept Cardiol, S-20502 Malmo, Sweden Karlstad Cty Hosp, Dept Med, Karlstad, Sweden Karlstad Cty Hosp KarlstadSweden Cty Hosp, Dept Med, Karlstad, Sweden
Titolo Testata:
JOURNAL OF CARDIOVASCULAR RISK
fascicolo: 4, volume: 8, anno: 2001,
pagine: 243 - 248
SICI:
1350-6277(200108)8:4<243:LEOCLA>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED TRIAL; HEART-DISEASE; PRIMARY-CARE; CLINICAL-PRACTICE; TASK-FORCE; FOLLOW-UP; MANAGEMENT; HYPERCHOLESTEROLEMIA; SPECIALIST;
Keywords:
cholesterol; lipid-lowering drugs; secondary prevention; triglycerides;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Stagmo, M Lund Univ, Univ Hosp, Dept Cardiol, S-20502 Malmo, Sweden Lund Univ Malmo Sweden S-20502 Cardiol, S-20502 Malmo, Sweden
Citazione:
M. Stagmo et al., "Long-term effects on cholesterol levels and the utilization of lipid-lowering drugs of a hospital-based programme for secondary prevention of coronary artery disease", J CARD RISK, 8(4), 2001, pp. 243-248

Abstract

Background The study was designed to determine whether a 1-year hospital-based secondary prevention programme would have any long-term effects on serum lipid levels and the use of lipid-lowering drugs in patients with coronary artery disease 4 years after referral to primary care facilities for follow-tip. Design/methods After acute myocardial infarction or coronary bypass surgery, 241 consecutive patients were randomly assigned to conventional care (CC) by the primary health care facilities or to a 1-year hospital-based secondary prevention programme (SPP) with target levels for serum cholesterol (<5.2 mmol/l) and triglycerides (<1.5 mmol/l). After 1 year all patients werereferred to the primary care sector for a further 4-year follow-up. Results At the 1-year follow-up there was a significant decrease in serum cholesterol, LDL-cholesterol and triglyceride levels in the SPP group but no change in the CC group, and lipid-lowering drugs were used more frequently in the SPP group. These changes were maintained after 5 years. The proportion of patients achieving target serum cholesterol and triglyceride levelswere larger in the SPP group. Conclusions Initiatives regarding cholesterol lowering and drug treatment taken by specialists within a structured hospital-based SPP have long-term impact. Accordingly, drug treatment should be initiated and adjusted to adequate doses before patients are referred to primary care for follow-up. J Cardiovasc Risk 8:243-248 (C) 2001 Lippincott Williams & Wilkins.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:35:05