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.