Numerous clinical and epidemiological studies have consistently shown that the majority of ASCVD patients at high risk for cardiovascular (CV) events do not achieve the recommended low-density lipoprotein cholesterol (LDL-C) levels. Most patients with established cardiovascular disease (CVD) remain above recommended LDL-C thresholds.1,2
Despite the increased risk of another CV event during the first year after myocardial infarction (MI), the percentage of patients with LDL-C < 70 mg/dL steadily decreased from 52% within 3 months, to 48% within 3 to 6 months, and to 45% within 6 to 12 months.
Retrospective cohort study using the Medicare fee-for-service claims linked to the Prognos LDL-C database. US population only.
Patients were included if they had an LDL-C value (index) in calendar year 2017 and a primary diagnosis of MI associated with hospitalization in the year before the index. LDL-C, low-density lipoprotein cholesterol; MI, myocardial infarction.
Only a third of patients received any LDL-C testing within 3 months after MI, and only half of patients received LDL-C testing in the year following MI hospitalization.
Retrospective study using claims data from a large US population (n = 389,367) with Medicare supplemental or commercial insurance. Patients were included if their first MI hospitalization occurred during January 1, 2008 to March 31, 2019, with 1 year of continuous enrollment in insurance leading up to the hospitalization. LDL-C testing was assessed in the year before admission and for up to 1 year after discharge, with censoring due to insurance plan dis-enrollment.
LDL-C, low-density lipoprotein C; MI, myocardial infarction.