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Title:           Quality control to improve LDL-cholesterol management in patients with acute coronary syndromes based on the ACS EuroPath IV project
Subject:         DOI: 10.1093/ehjacc/zuad119; European Heart Journal: Acute Cardiovascular Care, 13, 1, 2023-10-13.; Abstract:  Aims: We performed quality control of lipid-lowering therapy (LLT) in patients with acute coronary syndrome (ACS), with a view to proposing corrective actions. Methods and results: Using a Define Measure Analysis Improve Control (DMAIC) approach applied to data from the ACS EuroPath IV survey, we measured attainment of two quality indicators (QIs) related to lipid-lowering treatment: (i) prescription of high-intensity statins (or equipotent treatment) before discharge, and (ii) proportion with LDL-cholesterol <55 mg/dL (1.4 mmol/L) during follow-up. A total of 530 European cardiologists responded and provided data for up to 5 patients from their centre, for acute and follow-up phases. Corrective measures are proposed to increase the rate of attainment of both QIs. Attainment of the first QI was measured in 929 acute-phase patients, 99% had LLT prescribed at discharge and 75%
Keywords:        Acute coronary syndrome; Lipid-lowering therapy; Statin; Ezetimibe; Proprotein convertase subtilisin/kexin type-9 inhibitors; Bempedoic acid
Author:          François Schiele
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  Checksum: 3f6fd8bc
   Type: CRC32
  Checksum: 227139c898be5ba99eb159de77a6fe5a
   Type: MD5
  Checksum: 984f64f9f0a20777623fbfb2347c01322d19a780
   Type: SHA-1
  Checksum: c73309e4cc51b1c90effd7b48d153a52b24b10480833e25c4f56f802e5628862
   Type: SHA-256