کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5967932 | 1576165 | 2015 | 8 صفحه PDF | دانلود رایگان |

- Patients with â¥Â 50% LDL-C reduction had a 47% risk reduction in 2-year major cardiac events.
- Patients with LDL-C levels <Â 70Â mg/dL at 1Â year did not have a significant reduction in 2-year major cardiac events.
- The beneficial effects of obtaining a â¥Â 50% LDL-C reduction were prominent in patients less than 65 years of age.
BackgroundThe present study compared the effects of two low-density lipoprotein cholesterol (LDL-C) goals for secondary prevention after acute myocardial infarction (AMI) in real-world practice.Methods and resultsOf 3091 consecutive patients with AMI who had baseline LDL-C levels â¥Â 70 mg/dL and underwent successful percutaneous coronary intervention, 1305 eligible patients who received discharge statin prescriptions were analyzed. Patients were categorized into 2 groups according to the values of LDL-C at 1 year in two different manners using percent reduction from baseline (â¥Â 50% reduction, n = 428 versus < 50% reduction, n = 877) and fixed levels (< 70 mg/dL, n = 625 versus â¥Â 70 mg/dL, n = 680). The primary outcome was defined by the composite of 2-year major cardiac events including cardiac death, non-fatal myocardial infarction, percutaneous coronary intervention, and coronary artery bypass grafting after hospital discharge. At 2 years, major cardiac events occurred in 139 patients (10.7%). Compared with < 50% LDL-C reduction from baseline, patients with â¥Â 50% LDL-C reduction had a 47% risk reduction in major cardiac events (adjusted hazard ratio, 0.53; 95% confidence interval, 0.36 to 0.79; P = 0.002). But, compared with LDL-C levels â¥Â 70 mg/dL at 1 year, patients with LDL-C levels < 70 mg/dL at 1 year had a similar risk of major cardiac events (adjusted hazard ratio, 0.96; 95% confidence interval, 0.68 to 1.34; P = 0.793).ConclusionsObtaining a â¥Â 50% reduction in LDL-C was associated with better clinical outcomes after AMI in real-world practice, whereas achieving a < 70 mg/dL was not.
Journal: International Journal of Cardiology - Volume 187, 6 May 2015, Pages 478-485