| Prevalence of dyslipidemia and general ineffectiveness of its treatment in both primary and secondary prevention of coronary heart disease within family medicine framework--results of LIPIDOGRAM 2005--a nationwide epidemiological study. Dyslipidemia in Poland--ineffective treatment. | |
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MedLine Citation:
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PMID: 19441674 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Despite major advances in cardiology dyslipidemia continues to be underdiagnosed and undertreated. The study aimed to evaluate current prevalence of dyslipidemia and treatment efficacy in both coronary and non-coronary subjects. METHODS: 17,065 subjects aged 30-95 years (20.51%--coronary heart disease (CHD) patients), seeking medical help for disparate reasons from 675 family physicians, were randomly enrolled. Family physicians completed pertinent questionnaires against available medical records and measured patients' lipid levels during a single appointment. RESULTS: Dyslipidemia was detected in 73% of the CHD subjects vs. 46% of the non-CHD ones (p = 0.00001); its severity differing regionally. Hypolipemic treatment was administered to 82% of the CHD subjects vs. 12% of the non-CHD ones (p = 0.00001). Mean concentrations of LDL-cholesterol were higher in the treated subjects (p = 0.00002). Only 10% of the CHD subjects and 20% of the non-CHD ones were treated effectively for dyslipidemiae. CONCLUSIONS: Dyslipidemia was found widely prevalent nationwide, as well as poorly pharmacologically controlled in both primary and secondary prevention. Diversity of economic factors notwithstanding, this was mainly attributable to ineffective patient educational policies, meriting therefore immediate expansion and enhancement of existing disease management system in terms of adequate monitoring and effective treatment of key coronary risk factors. |
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Authors:
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Ewa Konduracka; Jacek Jóźwiak; Mirosław Mastej; Witold Lukas; Andrzej Tykarski; Ludwina Szczepaniak-Chicheł; Wiesława Piwowarska |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Przegla̧d lekarski Volume: 65 ISSN: 0033-2240 ISO Abbreviation: Prz. Lek. Publication Date: 2008 |
Date Detail:
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Created Date: 2009-05-15 Completed Date: 2009-06-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 19840720R Medline TA: Przegl Lek Country: Poland |
Other Details:
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Languages: eng Pagination: 834-7 Citation Subset: IM |
Affiliation:
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Dept. of Coronary Disease, Jagiellonian University School of Medicine, Krakow, Poland. konduracka27@interia.eu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Distribution Aged Aged, 80 and over Antihypertensive Agents Antilipemic Agents / therapeutic use Comorbidity Coronary Disease / epidemiology*, prevention & control* Diabetes Mellitus / epidemiology Dyslipidemias / drug therapy*, epidemiology* Female Humans Hypertension / drug therapy, epidemiology Male Middle Aged Obesity / epidemiology Poland / epidemiology Prevalence Sex Distribution Smoking / epidemiology Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents; 0/Antilipemic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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