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Updated: May 19, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
[Deficits in lipid lowering therapy and achieving target lipid concentrations in patients with high risk of a
1Kardiovaskulární centrum Nemocnice Na Homolce Praha. Filip.Malek@homolka.cz
Insights
Most high-risk cardiovascular patients have uncontrolled dyslipidemia, with low rates of achieving target LDL-cholesterol levels. This indicates a significant gap in managing lipid disorders for preventing heart events.
Area of Science:
- Cardiology
- Clinical Lipidology
- Preventive Medicine
Context:
- Analysis of lipid concentrations in 529 high-cardiovascular-risk patients undergoing elective coronary angiography.
- Study period: January 1st to May 31st, 2010.
- Patient demographics: 190 females (34%) and 339 males (66%), mean age 66 years.
Purpose:
- To evaluate the control of dyslipidemia in patients at high cardiovascular risk.
- To assess achievement of target low-density lipoprotein cholesterol (LDL-C) levels in primary and secondary prevention cohorts.
Summary:
- Only 36% of primary prevention patients achieved LDL-C < 2.5 mmol/l.
- Only 28% of secondary prevention patients achieved LDL-C < 2.0 mmol/l.
- The findings demonstrate inadequate dyslipidemia management in this high-risk population.
Impact:
- Highlights the need for improved strategies in managing dyslipidemia for cardiovascular event prevention.
- Underscores the gap between current clinical practice and lipid management guidelines.
- Emphasizes the importance of optimizing lipid-lowering therapies in high-risk individuals.
Abstract:
Lipid concentrations were analysed in 529 consecutive patients, 190 females (34%) and 339 males (66%) with mean age 66 years, at high cardiovascular risk, undergoing elective coronary angiography between 1st January and 31st May 2010. LDL-cholesterol level < 2,5 mmol/l was identified only in 36% of patients in primary prevention, LDL-cholesterol level < 2,0 mmol/l was identified only in 28% of subjects in secondary prevention of cardiovascular events. The study proves inadequate control of dyslipidaemia in patients at high cardiovascular risk.
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