Abstract

GARRIDO SANJUAN, J. A.; PIA IGLESIAS, G.  and  SESMA SANCHEZ, P.. Serum cholesterol during the course acute coronary events and secondary prevention of coronary heart disease. An. Med. Interna (Madrid) [online]. 2001, vol.18, n.9, pp.20-23. ISSN 0212-7199.

Objectives: To asess changes in the serum cholesterol (CT) during acute coronary events (infarction-IAM-and unstable angina) in clinical practice, to raise to begin pharmacologic lipid therapy knowing only a lipid profile.  Methods: Lipid clinic database was revised. Selection criteria: patients who were sent to the clinic 1 to 3 months after the acute coronary event and who were not begun pharmacologic lipid therapy.  Results: 56 pacients, 69% with IAM. Admission CT mean was lower. Among 17 who had CT lower than 200 mg/dl during acute phase, 16 had CT higher than 200 in ambulatory lipid profile. The bigger acute phase drop took place between those who had CT higher during ambulatory consultation.  Conclusions: Theses results confirm the CT decrease during IAM and reports this reduction happens during unstable angina too. That permits to suggest mostly to begin the lipid lowering drug therapy earlier, even although there was only a lipid vlue known. 

Keywords : Coronary heart disease secondary prevention; Cholesterol; Lipids; Lipid lowering drug therapy; Statins; Acute myocardial infarct; Unstable angina.

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