دورية أكاديمية

Prevalence of dyslipidaemia in patients treated with lipid-lowering agents in China: Results of the DYSlipidemia International Study (DYSIS)

التفاصيل البيبلوغرافية
العنوان: Prevalence of dyslipidaemia in patients treated with lipid-lowering agents in China: Results of the DYSlipidemia International Study (DYSIS)
المؤلفون: Zhao, Shuiping, Wang, Yongjun, Mu, Yiming, Yu, Bilian, Ye, Ping, Yan, Xiaowei, Li, Zhanquan, Wei, Yidong, Ambegaonakr, Baishaili M., Hu, Dayi
المساهمون: Hu, DY (reprint author), Peking Univ, Peoples Hosp, Dept Cardiol, 11 Xi Zhi Men Nan Da Jie, Beijing 100044, Peoples R China., Cent S Univ, Xiangya Hosp 2, Dept Cardiol, Changsha 410011, Hunan, Peoples R China., Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China., Chinese Peoples Liberat Army Gen Hosp, Dept Endocrinol, Beijing 100853, Peoples R China., Chinese Peoples Liberat Army Gen Hosp, Dept Geriatr Cardiol, Beijing 100853, Peoples R China., Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Cardiol, Beijing 100730, Peoples R China., Peking Union Med Coll, Beijing 100730, Peoples R China., Peoples Hosp Liaoning Prov, Dept Cardiol, Shenyang 110016, Peoples R China., Tonidi Univ, Peoples Hosp 10, Dept Cardiol, Shanghai 200072, Peoples R China., Merck & Co Inc, Whitehouse Stn, NJ USA., Peking Univ, Peoples Hosp, Dept Cardiol, Beijing 100044, Peoples R China., Peking Univ, Peoples Hosp, Dept Cardiol, 11 Xi Zhi Men Nan Da Jie, Beijing 100044, Peoples R China.
المصدر: PubMed ; EI ; SCI
بيانات النشر: atherosclerosis
سنة النشر: 2014
المجموعة: Peking University Institutional Repository (PKU IR) / 北京大学机构知识库
مصطلحات موضوعية: Cardiovascular diseases, Dyslipidaemia, Statin, Lipid-lowering agents, LDL cholesterol, Non-HDL cholesterol, CORONARY-HEART-DISEASE, HIGH-DENSITY LIPOPROTEIN, CLINICAL-PRACTICE, CHOLESTEROL GOAL, DIABETES-MELLITUS, HIGH-RISK, MANAGEMENT, ABNORMALITIES, CANADA
الوصف: Background: Despite clear guideline recommendations, there is a paucity of data regarding the prevalence and type of persistent lipid profile abnormalities in patients on stable lipid-lowering therapy in China. Methods: This cross-sectional trial included 25,697 patients treated with lipid-lowering agents from 122 centres between April 2012 and October 2012; all underwent clinical examination and had their latest fasting lipid profiles while on lipid-lowering therapy recorded. Logistic regression was performed to assess predictors for lipid abnormalities classified according to current Chinese guidelines. Findings: Overall, 29.1% of patients had no lipid abnormalities, and 38.5% of patients did not achieve the therapeutic goal for low-density lipoprotein cholesterol (LDL-C), either as a single lipid anomaly or associated with low high-density lipoprotein cholesterol (HDL-C), elevated triglycerides, or both. Subjects with low risk were more likely than those with very high and high risk to be at target LDL-C levels. Furthermore, 10.4% of very high-risk patients and 11.1% of high-risk patients who attained the LDL-C goal failed to attain non-HDL-C goals. Diabetes was shown to be a strong predictor of failure in attaining non-HDL-C and both goals (OR 3.03; 3.22, 95% CI 2.58-3.55; 2.73-3.79, respectively). Conclusion: Although great improvements have been made over the past decade, the large majority of very high-risk and high-risk patients treated with lipid-lowing agents still had one or more manifestations of dyslipidaemia. Further clinical evidence is needed to clarify whether adding other lipid-lowering agents to a statin will be associated with additional cardiovascular risk reduction. (C) 2014 Elsevier Ireland Ltd. All rights reserved. ; Peripheral Vascular Disease ; SCI(E) ; EI ; PubMed ; 6 ; ARTICLE ; dayi.hu@medmail.com.cn ; 2 ; 463-469 ; 235
نوع الوثيقة: journal/newspaper
اللغة: English
تدمد: 0021-9150
1879-1484
العلاقة: ATHEROSCLEROSIS.2014,235,(2),463-469.; 652202; http://hdl.handle.net/20.500.11897/188936Test; WOS:000342411000932
DOI: 10.1016/j.atherosclerosis.2014.05.916
الإتاحة: https://doi.org/20.500.11897/188936Test
https://doi.org/10.1016/j.atherosclerosis.2014.05.916Test
https://hdl.handle.net/20.500.11897/188936Test
رقم الانضمام: edsbas.84E77F0F
قاعدة البيانات: BASE
الوصف
تدمد:00219150
18791484
DOI:10.1016/j.atherosclerosis.2014.05.916