The value of a specialist lipid clinic

International Journal of Clinical Practice
S C Martin, A Viljoen

Abstract

To establish the value of the first 3 years of a cardiovascular risk factor clinic in tackling the major risk factors for cardiovascular disease (CVD). A database review of all 339 patients referred to the clinic. Blood pressure levels in the hypertensive patients were significantly reduced and 9% of the smokers managed to quit for 12 months, half of them subsequently relapsing. Ninety-eight oral glucose tolerance tests were performed and 40% were abnormal yielding 10 patients with hitherto unsuspected diabetes and 29 with impaired glucose tolerance. Sixty-four of the 97 referrals of patients in the primary prevention group (no evidence of CVD) were found to have calculated Framingham coronary heart disease risk estimates of < 15% per decade, the lowest being 0.3%. Lipid levels were significantly reduced in both the hypercholesterolaemic (n = 290) and hypertriglyceridaemic (n = 49) patient groups through the use of more potent statins, extensive use of combination therapy and appropriate use of fibrates and omega-3 fish oil supplements. The annual drug cost per patient treated only increased from 310.72 pounds sterling to 398.08 pounds sterling, yet there was a 3.5-fold increase in the number of patients achieving the General M...Continue Reading

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Citations

May 16, 2008·International Journal of Clinical Practice·R D G Neely
Oct 11, 2017·International Journal of Clinical Practice·Monika KohliAnthony S Wierzbicki
Sep 1, 2018·International Journal of Clinical Practice·Anthony S WierzbickiTimothy M Reynolds

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