Achieving Guideline-Driven High-Intensity Statin Dose in Cardiac Rehabilitation Patients With Coronary Artery Disease

Journal of Cardiopulmonary Rehabilitation and Prevention
Jonathan LinPeter Alagona

Abstract

The 2013 American College of Cardiology/American Heart Association Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults recommends high-intensity statin therapy in patients aged ≤75 y with clinical coronary artery disease (CAD). The effectiveness of cardiac rehabilitation (CR) in lipid management and guideline adherence is unknown. The purpose of this study is to determine whether CR participation affects guideline-driven achievement for statin use. This multicenter retrospective study evaluated statin utilization in patients pre- and post-CR between January 1, 2014, and August 31, 2015. Records for patients with known CAD who completed 18 or more CR sessions were reviewed for statin-drug use and dose before and after CR and documented statin intolerance. Of the total 468 patients, 76% were male with mean age ± SD = 66.0 ± 10.8 y and range of 32 to 89 y. Patients aged ≤75 y (n = 375) showed a modest but statistically significant increase (P = .0006) in high-intensity statin use post-CR (56.3%-61.1%). Males demonstrated a significant increase in high-intensity statin use (P = .0005). Of the 146 patients aged ≤75 y not on high-intensity statins post-CR, only 21 had history of sta...Continue Reading

References

Aug 2, 2003·Journal of Cardiopulmonary Rehabilitation·Bonnie K SandersonVera Bittner
Aug 16, 2005·The American Journal of Cardiology·Neil J StoneSara Rosenbaum
Nov 19, 2013·Journal of the American College of Cardiology·Neil J StoneUNKNOWN American College of Cardiology/American Heart Association Task Force on Practice Guidelines
May 6, 2014·Journal of Clinical Lipidology·Terry A Jacobson
Jan 24, 2015·Journal of the American College of Cardiology·Robert S RosensonVera Bittner
Apr 24, 2015·Journal of the American Heart Association·Nilay S ShahDonald M Lloyd-Jones
May 22, 2016·Journal of Clinical Lipidology·Salim S ViraniChristie M Ballantyne

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