Significant Gap Between Guidelines and Practice in the Management of LDL Cholesterol: Insight From the Survey of the Korean Society of Myocardial Infarction
10.3346/jkms.2023.38.e419
- Author:
Sang Yeub LEE
1
;
Kyung Hoon CHO
;
Jang Hoon LEE
;
Young Joon HONG
;
Jin yong HWANG
;
Myung Ho JEONG
;
Weon KIM
Author Information
1. Division of Cardiology, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Korea
- Publication Type:Brief Communication
- From:Journal of Korean Medical Science
2023;38(50):e419-
- CountryRepublic of Korea
- Language:English
-
Abstract:
The Guidelines of the 2019 European Society of Cardiology (ESC) and the 5th Society of Lipid and Atherosclerosis (KSoLA) for the Management of Dyslipidemia advocate a more intensive lipid-lowering strategy. However, there is a lack of evidence regarding the current status of lipid management in Korean patients in real-world practice. The Korean Society of Myocardial Infarction conducted a survey among its members of the Korean Society of Cardiology on the new lipid guidelines. Although most participants were aware of the changes in the ESC and the KSoLA guidelines, more than half of them did not agree with lowering the low-density lipoprotein cholesterol levels to < 55 mg/dL, because its safety and efficacy have not yet been proven in Koreans. A substantial disparity exists between lipid management guidelines and current clinical practices, highlighting the necessity for clinical research that specifically targets East Asians and Koreans to bridge this gap.
