title: [Low rate of achieving LDL-cholesterol objective in a low income population].
abstract: OBJECTIVE
  To assess the percentage of patients suitable to the objectives preconized by III Diretrizes sobre Dislipidemias da Sociedade Brasileira de Cardiologia (3rd Guidelines on Dyslipidemia of Brazilian Society of Cardiology), in a low income population. To determine whether there was a difference of that percentage in high risk patients, according to their age (< 75 years old vs. > 75 years old).
  
  
  METHODS
  We analyzed, consecutively, 190 patients, divided in two groups: 51 low and middle risk patients (G I) and 139 high risk patients for coronary artery disease (G II). The sample was characterized by low income patients (69% for the patients had a family income between 1 and 2 minimum salaries), whose hypolipidemic therapy was irregularly supplied by the state.
  
  
  RESULTS
  G I and G II showed, respectively, 70.1 +/- 13.7 years old and 13.7% of men and 68.5 +/- 10.6 years old and 62.6% of men. Among patients from G II, 30% showed LDL-cholesterol within the preconized objectives. The frequency of patients suitable to the objectives was significantly lower in individuals with 75 years of age or older than among those younger than 75 years old (16% vs. 30%, p = 0.04).
  
  
  CONCLUSIONS
  In a predominantly low income population and without continuous assistance from the State to purchase statins, the achievement of preconized objectives for LDL-cholesterol, by 3rd Guidelines on Dyslipidemia of Brasilian Society of Cardiology, is low and also significantly lower among very old patients, with a high risk profile for atherosclerosis.
authors.affiliation: Instituto do Coração do Distrito Federal (InCor-DF), Distritio Federal, DF. lvacanti@cardiol.br
authors.forename: Luciano J
authors.initials: LJ
authors.lastname: Vacanti
authors.forename: Silvio C de Moraes
authors.initials: SC
authors.lastname: Santos
authors.forename: Alessandro M
authors.initials: AM
authors.lastname: Fujita
authors.forename: David S
authors.initials: DS
authors.lastname: Lima
authors.forename: Alan F
authors.initials: AF
authors.lastname: Lopes
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Vetorazi
authors.forename: Ana
authors.initials: A
authors.lastname: Sellera
authors.forename: Nataly R
authors.initials: NR
authors.lastname: Scarin
mesh_terms: D017677:Age Distribution; D000368:Aged; D001938:Brazil; D008078:Cholesterol, LDL / Q000097:blood*; D003324:Coronary Artery Disease / Q000097:blood / Q000191:economics / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000191:economics / Q000517:prevention & control*; D008297:Male; D011203:Poverty; D012307:Risk Factors; D017678:Sex Distribution
chemical_list: D008078:Cholesterol, LDL