Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Hemant Chaturvedi
Eternal Heart Care Centre & Research institute, India
Posters-Accepted Abstracts: J Clin Exp Cardiolog
Background and objective: Lipid control to target is essential in patients with established Coronary Heart Disease (CHD). To determine prevalence of target oriented LDL cholesterol in patients with diabetes and CHD we performed a study. Methods: Successive new patients presenting to cardiac out-patient department were enrolled in the study. The patients were classified into Group I- non-cardiac/non-diabetic, Group II- CHD without diabetes, and Group III- CHD with diabetes. Groups II and III were further stratified into those taking or not taking statins for at least 3 months. Descriptive statistics are presented. Results: We enrolled 1032 patients, 123 (15.8%) in Group I, 403 (37.2%) in Group II and 506 (46.8%) in Group III. There were 40% females and 64% subjects were in age-group 35-50 years. In Group I, II and III respectively, mean total cholesterol was 176.8, 229.7 and 238.6 mg/dl, LDL cholesterol was 92.2, 132.4 and 159.0 mg/dl and HDL cholesterol was 56.8, 34.6 and 36.8 mg/dl (ANOVA p<0.01). In combined Groups II and III among patients on statins vs. not on statins only 26.4 vs. 6.1% had total cholesterol <200 mg/ dl and 8.4 vs. 1.1% had LDL cholesterol <100 mg/dl (p<0.05). Revised target of LDL cholesterol <70 mg/dl was not achieved in any case. Conclusions: There is dismal control of lipid levels in free-living patients with CHD in India.