[Lipid control in secondary prevention: multicenter observational study in primary care].
OBJECTIVE
To assess the implementation of pharmacological and non-pharmacological treatment in coronary patients followed in primary care.


METHODS
Observational prospective study of 6 months of follow-up.


METHODS
Primary care centers all over Spain.


METHODS
Men and women, between 18 and 75 years old, diagnosed in the last 3 years of myocardial infarction, stable angina, and unstable angina, with cholesterol levels higher than the lipid therapeutical goal recommended by the Guía de Prevención Cardiovascular del Programa de Actividades y de Promoción de la Salud de la Sociedad Española de Medicina de Familia y Comunitaria. Patients were recruited between february of 1998 and july of 1999, and were followed for 6 months.


METHODS
Total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, weight, height, body mass index, systolic and diastolic blood pressure (SBP and DBP).


RESULTS
4464 patients were included, mean age of 59 years (range, 20-96), 60% men. At 6 months, 66% of the patients had a cholesterol level higher than 200 mg/dL, 55% had LDL-C higher than 130 mg/dL, and 11% had triglycerides higher than 190 mg/dL. At 6 months a reduction of 70 mg/dL of total cholesterol, of 52 mg/dL of triglycerides, and of 51 mg/dL of LDL-C, and an increase of 4 mg/dL of HDL-Cholesterol was observed. Also, SBP and DBP were reduced 5 mm Hg and 3 mm Hg.


CONCLUSIONS
Although a clear improved was observed in the control of lipids and other risk factors, there is still a considerable potential to raise standards in secondary prevention of coronary patients followed in primary care concerning control of cardiovascular risk factors, particularly total cholesterol and lipid fractions.
Brotons
C
C
EAP Sardenya, Servei Català de la Salut, Barcelona, Spain. cbrotons@eapsardenya.net
Maiques
A
A
Mostaza
J
J
Pintó
X
X
Vilaseca
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002784:Cholesterol / Q000097:blood; D003327:Coronary Disease / Q000097:blood / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D011446:Prospective Studies; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides; D002784:Cholesterol