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. 2017 Mar;33(2):156–164. doi: 10.6515/ACS20161215A

Table 2. Characteristics of patients who failed to attain LDL-C goals stratified by follow-up treatment plans.

Continue existing treatment (n = 270) Add additional lifestyle modification (n = 38) Intensify therapeutic dose (n = 38) Switch medication (n = 63) Switch medication after dose intensification (n = 11)
Age, years 65 ± 11 63 ± 11 68 ± 11 65 ± 11 63 ± 15
Women 89 (33) 16 (42) 11 (29) 26 (41) 2 (18)
Smoking 85 (31) 11 (29) 10 (26) 16 (25) 5 (45)
Family history of premature CHD 52 (19) 14 (37) 21 (55) 21 (33) 2 (18)
Hypertension 247 (91) 35 (92) 36 (95) 57 (90) 10 (91)
Diabetes 140 (52) 25 (66) 20 (53) 35 (56) 6 (55)
Multiple risk factors with 10-year risk for CHD > 20% 75 (28) 5 (13) 12 (32) 11 (17) 2 (18)
CHD 149 (55) 11 (29) 28 (74) 30 (48) 9 (82)
Carotid artery disease 0 (0) 0 (0) 3 (8) 5 (8) 1 (9)
LDL-C target < 70 mg/dL 207 (77) 23 (61) 34 (89) 49 (78) 10 (91)
Very high-risk category 197 (73) 23 (61) 34 (89) 51 (81) 10 (91)
Secondary prevention 164 (61) 30 (79) 34 (89) 40 (63) 10 (91)
Statin monotherapy 228 (84) 29 (76) 36 (95) 54 (86) 9 (82)
Metabolic syndrome element#
 Abdominal obesity 192 (71) 29 (76) 29 (76) 47 (75) 5 (45)
 Abnormal triglyceride 127 (48) 22 (58) 22 (58) 36 (57) 10 (91)
 Low HDL-C 119 (45) 19 (50) 18 (47) 28 (44) 6 (55)
 Abnormal BP 236 (87) 32 (84) 38 (100) 57 (90) 10 (91)
 Impaired fasting glucose 179 (67) 30 (79) 32 (84) 57 (90) 7 (64)

* Data are in numbers (%) unless noted otherwise. # Abdominal obesity (waist > 90 cm in men or > 80 cm in women); abnormal triglyceride (≥ 150 mg/dL); low HDL-C (< 40 mg/dL in men or < 50 mg/dL in women); abnormal BP (≥ 130/≥ 85 mmHg); impaired fasting glucose (≥ 100 mg/dL).

BP, blood pressure; CHD, coronary heart disease; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol.