[Serum cholesterol during the course of acute coronary events and secondary prevention of coronary heart disease].
OBJECTIVE
To assess changes in the serum cholesterol (CT) during acute coronary events (infarction -IAM- and unstable angina) in clinical practice, to raise to begin pharmacologic lipid therapy knowing only a lipid profile.


METHODS
Lipid clinic database was revised.


METHODS
patients who were sent to the clinic 1 to 3 months after the acute coronary event and who were not begun pharmacologic lipid therapy.


RESULTS
56 patients, 69% with IAM. Admission CT mean was lower. Among 17 who had CT lower than 200 mg/dl during acute phase, 16 had CT higher than 200 in ambulatory lipid profile. The bigger acute phase drop took place between those who had CT higher during ambulatory consultation.


CONCLUSIONS
Theses results confirm the CT decrease during IAM and reports this reduction happens during unstable angina too. That permits to suggest mostly to begin the lipid lowering drug therapy earlier, even although there was only a lipid value known.
Garrido Sanjuán
J A
JA
Unidad de Lípidos, Servicio de Medicina Interna, Hospital Arquitecto Marcide, Ferrol.
Pía Iglesias
G
G
Sesma Sánchez
P
P
D000328:Adult; D000368:Aged; D000789:Angina, Unstable / Q000097:blood; D003324:Coronary Artery Disease / Q000097:blood* / Q000517:prevention & control*; D005260:Female; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use*; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood
D000960:Hypolipidemic Agents; D008055:Lipids