title: [Lipid profile in patients admitted with acute coronary syndrome in Spain: data from Toledo health care area between 2005 and 2008].
abstract: OBJECTIVE
  To evaluate the lipid profile of patients admitted with acute coronary syndrome in Toledo (Spain) between 2005 and 2008.
  
  
  METHODS
  Total cholesterol, LDL-cholesterol, HDL-cholesterol and triglyceride levels were evaluated. Descriptive analyses and means comparison were performed.
  
  
  RESULTS
  1,381 patients of 3,986 admitted with acute coronary syndrome had a complete lipid profile. The mean age was 67.8±12.9 years (72.4% men). A first event was present in 76.3%. The mean total cholesterol (±SD) was 180.0±43.4, LDL-cholesterol 115±38.0, HDL-cholesterol 44.1±12.3, and triglyceride 145.3±92.4mg/dL, with statistically significant differences between men and women in LDL-cholesterol (116.3±37.8 vs 111.6±38.5mg/dL; p=0.04) and HDL-cholesterol (42.3±11.6 vs 48.4±13.2mg/dL; p=0.0001). In first or recurrent events were found, respectively, total cholesterol 179.1±43.1 and 174.5±44.1 (p<0.05), LDL-cholesterol 116.5±38.4 and 110±36.5 (p=0.007), HDL-cholesterol 44.1±12.2 and 44.2±12.9 (p<0.05), and triglyceride 141.2±81.7 and 158.5±119.7 (p=0.03). Optimal levels of LDL-cholesterol and HDL-cholesterol were found in 14.1 and 11.6% of patients with recurrent episodes, respectively.
  
  
  CONCLUSIONS
  While most patients admitted with first episode of acute coronary syndrome to the Toledo Health Area have a lipid profile according to current guidelines, only 10% of those with recurrent acute coronary syndrome presented optimal LDL-cholesterol and HDL-cholesterol levels, which suggest the need to be more aggressive in the lipids control.
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Salud de La Puebla de Montalbán, La Puebla de Montalbán, Toledo, España. Electronic address: grodriguezr@semergen.es.
authors.forename: G C
authors.initials: GC
authors.lastname: Rodríguez-Roca
authors.forename: L
authors.initials: L
authors.lastname: Rodríguez-Padial
authors.forename: F J
authors.initials: FJ
authors.lastname: Alonso-Moreno
authors.forename: A
authors.initials: A
authors.lastname: Romero-Gutiérrez
authors.forename: F
authors.initials: F
authors.lastname: Akerström
authors.forename: A
authors.initials: A
authors.lastname: Segura-Fragoso
authors.forename: A
authors.initials: A
authors.lastname: Villarín-Castro
authors.forename: J
authors.initials: J
authors.lastname: Hernández-Moreno
authors.forename: A
authors.initials: A
authors.lastname: Menchén-Herreros
authors.forename: M
authors.initials: M
authors.lastname: Gómez-Serranillos
authors.forename: L M
authors.initials: LM
authors.lastname: Artigao-Rodenas
mesh_terms: D054058:Acute Coronary Syndrome / Q000097:blood*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002391:Catchment Area, Health; D002784:Cholesterol / Q000097:blood*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D013030:Spain; D013997:Time Factors; D014280:Triglycerides / Q000097:blood*; D055815:Young Adult
chemical_list: D014280:Triglycerides; D002784:Cholesterol
keywords: Acute coronary syndrome; Episodios recurrentes; First episodes; Lipid profile; Perfil lipídico; Primeros episodios; Recurrent episodes; Síndrome coronario agudo