1.Current statin use for patients with atherosclerotic cardiovascular disease in 39 large Chinese hospitals
Dan ZAHNG ; Lei GE ; Jing LI ; Xi LI ; Fang FENG ; Yi-Ping CHEN ; Zheng-Ming CHEN ; Martin LANDRAY ; Jane ARMITAGE ; Fang CHEN ; Li-Xin JIANG ; On behalf of HPS2-THRIVE collaborative group
Chinese Journal of Cardiology 2011;39(5):397-401
Objective To investigate the current statin use among high-risk patients with atherosclerotic cardiovascular diseases in Chinese large hospitals.Methods Clinical history and current medication were recorded in 11 783 patients with a history of atherosclerotic cardiovascular disease(CVD)from 39 highest-ranking hospitals in 10 Chinese cities.Results Indication for statin use was given for all screened patients and statin was not prescribed in up to 59.6% (7022)patients. For patients with statin use, medication time was shorter than their atherosclerotic CVD history in 1120 (23.5%) patients. The proportion of statin use among patients with ischemic stroke was 19.6%,among patients with coronary heart disease without ischemic stroke was 59.2%.Conclusion Statin is underused in secondary prevention among patients with atherosclerotic CVD in China.There is a large gap between guideline recommended statin use and in practice.Thus,it remains a major challenge for healthcare professionals and policy makers to resolve this problem rapidly.