naa a22 4500 510741223 CHVBK 20180411083028.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11845-013-0954-6 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0954-6 Lipid targets in clinical practice: successes, failures and lessons to be learned [Elektronische Daten] [M. Dunne, O. Mac Ananey, C. Markham, V. Maher] Introduction: Optimal risk factor control is integral to managing patients with proven coronary heart disease (CHD+) and for those at risk of coronary heart disease (CHD−). The primary aim of the study was to assess the success rate of reaching lipid risk factor targets in a multiple risk factor clinic. Methods: A retrospective audit was conducted in 488 patients (CHD+, n=112; CHD−, n=376) who attended the Cardiovascular Risk Factor Clinic at Tallaght Hospital, Dublin in 2009 and 2010. Results: Risk factor targets achieved in CHD+ and CHD− patients were LDLc (54/62%), HDLc (67/67%), systolic blood pressure (35/38%), diastolic blood pressure (82/75%), smoking cessation (27/26%), BMI≤30 (39/50%) and normal waist circumference (27/39%). Patients not reaching LDLc targets were found to be receiving fewer lipid-lowering drugs and having higher LDL levels at the initial clinic visit than those reaching targets. Discussion: This retrospective audit highlights gaps in achieving target lipid levels at a multiple risk factor clinic level. High initial LDLc levels and lack of drug titration are evident. Guideline changes, staff rotation, clinic visit frequency and multiplicity of targets may be contributory. More emphasis needs to be placed on education and algorithm-based strategies to achieve better risk factor control. Royal Academy of Medicine in Ireland, 2013 Risk factor audit nationallicence Lipid targets nationallicence Cardiovascular risk factors nationallicence Coronary heart disease nationallicence Obesity nationallicence Blood pressure nationallicence Dunne M. Tallaght Hospital, Dublin, Co Dublin, Ireland aut Mac Ananey O. Tallaght Hospital, Dublin, Co Dublin, Ireland aut Markham C. Tallaght Hospital, Dublin, Co Dublin, Ireland aut Maher V. Tallaght Hospital, Dublin, Co Dublin, Ireland aut Irish Journal of Medical Science Springer London 182/4(2013-12-01), 673-678 0021-1265 182:4<673 2013 182 11845 https://doi.org/10.1007/s11845-013-0954-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0954-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dunne M. Tallaght Hospital, Dublin, Co Dublin, Ireland aut NATIONALLICENCE 700 1- Mac Ananey O. Tallaght Hospital, Dublin, Co Dublin, Ireland aut NATIONALLICENCE 700 1- Markham C. Tallaght Hospital, Dublin, Co Dublin, Ireland aut NATIONALLICENCE 700 1- Maher V. Tallaght Hospital, Dublin, Co Dublin, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer London 182/4(2013-12-01), 673-678 0021-1265 182:4<673 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer