Preliminary results from an epidemiological study presented at the American College of Cardiology annual meeting, held in Orlando, Florida, indicate that, despite treatment with a statin, a high proportion of patients in Europe and Canada were not at lipid goals and/or had abnormal levels of high-density lipoprotein and triglycerides.
The DYSIS study, which was sponsored by the European unit of US drug major Merck & Co, found a potential gap between guideline recommendations and clinical practice and the need for more intensive and/or comprehensive lipid management in high-risk populations. Nearly one in four statin-treated patients in the study population (22.8%) were not reaching their treatment goal for low-density lipoprotein, plus they had low HDL-C and high triglycerides.
Low HDL-cholesterol and elevated triglycerides were seen in 31.5% and 38.7%, respectively, of statin-treated patients in the study population. Less than one-third of statin-treated subjects (31.3%) in the study population had no lipid abnormalities. Meanwhile, those statin-treated patients in the study population in the highest risk group were less likely to have normal HDL-C levels compared with the low-risk group (64.1% versus 98.6%, respectively).
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