Arq. Bras. Cardiol. 2022; 118(6): 1026-1027
Achievement of LDL-cholesterol Targets: Why do We Fail, and How Can We Improve?
This Short Editorial is referred by the Research article "Achievement of LDL-Cholesterol Goals after Acute Myocardial Infarction: Real-World Data from the City of Curitiba Public Health System".
Atherosclerotic cardiovascular disease (ASCVD) remains the first cause of death in the world, and Brazil., Individuals with previous ASCVD are at the highest risk of subsequent events, and guidelines recommend aggressive lowering of low-density lipoprotein cholesterol (LDL-c) levels to prevent bad outcomes.,
However, several reports from around the world indicate a gap between guideline recommendations and clinical practice, and a large proportion of the population, especially in secondary prevention, lives with LDL-c levels above those considered reasonable to prevent events.– Indeed, lack of adherence to guideline-recommended therapies was independently associated with major cardiovascular events in a Brazilian population after acute coronary syndrome.
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