Ten-year trends in lipid management among patients after myocardial infarction in South Korea.
<h4>Background</h4>Dyslipidemia is an important risk factor for acute myocardial infarction. However, real-world data on its prevalence and lipid management trends for Korean patients with acute myocardial infarction are limited. This study aimed to determine the 10-year temporal trends...
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0304710 |
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| author | Seok Oh Kyung Hoon Cho Min Chul Kim Doo Sun Sim Young Joon Hong Ju Han Kim Youngkeun Ahn Sang Yeub Lee Min-Ho Shin Weon Kim Myung Ho Jeong |
| author_facet | Seok Oh Kyung Hoon Cho Min Chul Kim Doo Sun Sim Young Joon Hong Ju Han Kim Youngkeun Ahn Sang Yeub Lee Min-Ho Shin Weon Kim Myung Ho Jeong |
| author_sort | Seok Oh |
| collection | DOAJ |
| description | <h4>Background</h4>Dyslipidemia is an important risk factor for acute myocardial infarction. However, real-world data on its prevalence and lipid management trends for Korean patients with acute myocardial infarction are limited. This study aimed to determine the 10-year temporal trends in dyslipidemia prevalence and lipid management in this patient population.<h4>Methods and findings</h4>The study used a merged database of two nationwide observational cohorts (2011-2020) that included 26,751 participants. The primary endpoints were the achievement rates of the (1) absolute low-density lipoprotein cholesterol (LDL-C) target of <70 mg/dL (<1.8 mmol/L), (2) relative LDL-C target reduction of >50% from the baseline, (3) absolute or relative LDL-C target (American target), and (4) both absolute and relative LDL-C targets (European target). The dyslipidemia prevalence increased from 11.1% to 17.1%, whereas the statin prescription rate increased from 92.9% to 97.0% from 2011 to 2020. The rate of high-intensity statin use increased from 12.80% in 2012 to 69.30% in 2020. The rate of ezetimibe use increased from 4.50% in 2016 to 22.50% in 2020. The high-intensity statin and ezetimibe prescription rates (0.20% to 9.30% from 2016 to 2020) increased gradually. The absolute and relative LDL-C target achievement rates increased from 41.4% and 20.8% in 2012 to 62.5% and 39.5% in 2019, respectively. The American (45.7% in 2012 to 68.6% in 2019) and European (16.5% in 2012 to 33.8% in 2019) target achievement rates also increased.<h4>Conclusions</h4>The adoption of lipid management guidelines in clinical practice has improved. However, continued efforts are needed to reduce the risk of recurrent ischemic events. |
| format | Article |
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| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-01bc7f3129904c43a42b062f5bf936922025-08-20T02:57:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011910e030471010.1371/journal.pone.0304710Ten-year trends in lipid management among patients after myocardial infarction in South Korea.Seok OhKyung Hoon ChoMin Chul KimDoo Sun SimYoung Joon HongJu Han KimYoungkeun AhnSang Yeub LeeMin-Ho ShinWeon KimMyung Ho Jeong<h4>Background</h4>Dyslipidemia is an important risk factor for acute myocardial infarction. However, real-world data on its prevalence and lipid management trends for Korean patients with acute myocardial infarction are limited. This study aimed to determine the 10-year temporal trends in dyslipidemia prevalence and lipid management in this patient population.<h4>Methods and findings</h4>The study used a merged database of two nationwide observational cohorts (2011-2020) that included 26,751 participants. The primary endpoints were the achievement rates of the (1) absolute low-density lipoprotein cholesterol (LDL-C) target of <70 mg/dL (<1.8 mmol/L), (2) relative LDL-C target reduction of >50% from the baseline, (3) absolute or relative LDL-C target (American target), and (4) both absolute and relative LDL-C targets (European target). The dyslipidemia prevalence increased from 11.1% to 17.1%, whereas the statin prescription rate increased from 92.9% to 97.0% from 2011 to 2020. The rate of high-intensity statin use increased from 12.80% in 2012 to 69.30% in 2020. The rate of ezetimibe use increased from 4.50% in 2016 to 22.50% in 2020. The high-intensity statin and ezetimibe prescription rates (0.20% to 9.30% from 2016 to 2020) increased gradually. The absolute and relative LDL-C target achievement rates increased from 41.4% and 20.8% in 2012 to 62.5% and 39.5% in 2019, respectively. The American (45.7% in 2012 to 68.6% in 2019) and European (16.5% in 2012 to 33.8% in 2019) target achievement rates also increased.<h4>Conclusions</h4>The adoption of lipid management guidelines in clinical practice has improved. However, continued efforts are needed to reduce the risk of recurrent ischemic events.https://doi.org/10.1371/journal.pone.0304710 |
| spellingShingle | Seok Oh Kyung Hoon Cho Min Chul Kim Doo Sun Sim Young Joon Hong Ju Han Kim Youngkeun Ahn Sang Yeub Lee Min-Ho Shin Weon Kim Myung Ho Jeong Ten-year trends in lipid management among patients after myocardial infarction in South Korea. PLoS ONE |
| title | Ten-year trends in lipid management among patients after myocardial infarction in South Korea. |
| title_full | Ten-year trends in lipid management among patients after myocardial infarction in South Korea. |
| title_fullStr | Ten-year trends in lipid management among patients after myocardial infarction in South Korea. |
| title_full_unstemmed | Ten-year trends in lipid management among patients after myocardial infarction in South Korea. |
| title_short | Ten-year trends in lipid management among patients after myocardial infarction in South Korea. |
| title_sort | ten year trends in lipid management among patients after myocardial infarction in south korea |
| url | https://doi.org/10.1371/journal.pone.0304710 |
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