Improving lipid control following myocardial infarction

Jyoti Ankam, David I. Feldman, Michael J. Blaha, Seth S. Martin

Research output: Contribution to journalReview article

Abstract

PURPOSE OF REVIEW: Following a myocardial infarction, lipid-lowering therapy is an established intervention to reduce the risk of recurrent cardiovascular events. Prior studies show a need to improve clinical practice in this area. Here, we review the latest research and perspectives on improving postmyocardial infarction lipid control. RECENT FINDINGS: Dyslipidemia and myocardial infarction remain leading causes of global disability and premature mortality throughout the world. The processes of care in lipid control involve multiple patient-level, provider-level, and healthcare system-level factors. They can be challenging to coordinate. Recent studies show suboptimal use of early high-intensity statin therapy and overall lipid control following myocardial infarction. Encouragingly, lipid control has improved over the last decade. Implementation science has identified checklists as an effective tool. At the top of the checklist for reducing atherogenic lipids and recurrent event risk postmyocardial infarction is early high-intensity statin therapy. Smoking cessation and participation in cardiac rehabilitation are also priorities, as are lifestyle counseling, promotion of medication adherence, ongoing lipid surveillance, and medication management. SUMMARY: Optimizing lipid control could further enhance clinical outcomes after myocardial infarction.

Original languageEnglish (US)
Pages (from-to)454-466
Number of pages13
JournalCurrent opinion in cardiology
Volume29
Issue number5
DOIs
StatePublished - Sep 2014

Keywords

  • cholesterol
  • lipids
  • lipoproteins
  • myocardial infarction
  • secondary prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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