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Physician Adherence to Blood Cholesterol Guidelines

Less than half of acute atherosclerotic cardiovascular disease (ASCVD) patients were treated according to American College of Cardiology/American Heart Association (ACC/AHA) guidelines, reports a new study. The recent analysis used electronic medical record (EMR) and patient chart data to evaluate physician adherence to the 2013 ACC/AHA blood cholesterol guidelines while treating patients with evidence of ASCVD. Among the findings:

  • < 50% of acute ASCVD patients were treated according to the guidelines.
  • Nearly 42% of patients not treated according to guidelines received a lower statin intensity than recommended.
  • The most common reason named by 41.8% of physicians for treating with a statin intensity below the recommended intensity was low-density lipoprotein cholesterol (LDL-C) stable or at goal, despite ACC/AHA guidelines recommending specific statin intensities rather than LDL-C specific LDL-C levels.

Citation:

Ramsaran E, Preusse P, Sundaresan D, et l. Adherence to blood cholesterol treatment guidelines among physicians managing patients with atherosclerotic cardiovascular disease. [Published online ahead of print April 23, 2019]. Am J Cardiol. doi:10.1016/j.amjcard.2019.04.017.