A community-wide survey of physician practices and attitudes toward cholesterol management in patients with recent acute myocardial infarction

Archives of Internal Medicine
J YarzebskiJoel M Gore

Abstract

Physicians' current attitudes and practices toward the management of high cholesterol levels in patients with recent acute myocardial infarction are not well defined. To examine threshold levels of serum cholesterol and other factors that influence physicians' decision to prescribe lipid-lowering drugs and initiate dietary therapy in patients with recent acute myocardial infarction. Community-wide questionnaire survey of general internists, cardiologists, and family physicians practicing in the Worcester, Mass, metropolitan area. Among the 257 responding physicians, lipid-lowering drug therapy was more likely to be initiated in younger patients at lower total serum and low-density lipoprotein (LDL) cholesterol levels than in older patients (P =.03). Younger physicians were more likely to initiate dietary and lipid-lowering drug therapy at lower total and LDL cholesterol levels than their older counterparts. Younger physicians also considered LDL cholesterol level the most important factor in initiating lipid-lowering drug therapy in contrast to older physicians who favored total cholesterol level (P =.001). General practice physicians were more likely to initiate dietary therapy at lower total cholesterol levels, but tended to ...Continue Reading

Citations

Dec 4, 2010·Vascular Health and Risk Management·David ZakimM Dominik Alscher
Mar 8, 2005·Preventive Medicine·David LitakerKurt C Stange
Dec 28, 2005·The American Journal of Medicine·Philip S MehlerWilliam R Hiatt
Nov 19, 2003·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Koichi MatsubaraChiaki Shigemasa
Apr 26, 2003·The American Journal of Medicine·Philip S MehlerRobert W Schrier
Dec 23, 2003·Journal of General Internal Medicine·Kathleen A FoleyLeona E Markson

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