VRABLIK, Michal, Katarina RASLOVA, Branislav VOHNOUT, Vladimir BLAHA, Martin SATNY, Ondřej KYSELÁK, Martina VACLOVA, Robin URBANEK, Jana MASKOVA, Vladimír SOŠKA and Tomáš FREIBERGER. Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry. Atherosclerosis. Clare: ELSEVIER SCI IRELAND LTD, 2018, vol. 277, OCT 2018, p. 355-361. ISSN 0021-9150. Available from: https://dx.doi.org/10.1016/j.atherosclerosis.2018.08.008.
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Basic information
Original name Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry
Authors VRABLIK, Michal (203 Czech Republic), Katarina RASLOVA (703 Slovakia), Branislav VOHNOUT (703 Slovakia), Vladimir BLAHA (203 Czech Republic), Martin SATNY (203 Czech Republic), Ondřej KYSELÁK (203 Czech Republic), Martina VACLOVA (203 Czech Republic), Robin URBANEK (203 Czech Republic), Jana MASKOVA (203 Czech Republic), Vladimír SOŠKA (203 Czech Republic, belonging to the institution) and Tomáš FREIBERGER (203 Czech Republic, guarantor, belonging to the institution).
Edition Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2018, 0021-9150.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30230 Other clinical medicine subjects
Country of publisher Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 4.255
RIV identification code RIV/00216224:14110/18:00105337
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.atherosclerosis.2018.08.008
UT WoS 000445908000054
Keywords in English Familial hypercholesterolemia; LDL-C goal attainment; Treatment pattern; LDL-Cholesterol; Statins; Ezetimibe
Tags 14110114, 14110116, podil, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Pavla Foltynová, Ph.D., učo 106624. Changed: 12/3/2019 16:03.
Abstract
Background and aims: Despite the high prevalence of familial hypercholesterolemia (FH) and available effective lipid-lowering therapy, most of the individuals with this disorder remain undiagnosed and undertreated. The aim of the PLANET registry was to assess the real-life attainment of low-density lipoprotein cholesterol (LDL-C) therapeutic target level in patients with heterozygous FH, to characterize prescribed lipid-lowering therapy with assessment of its efficiency according to the attainment of the target LDL-C level, and to characterize cardiovascular events observed in this patient population again in relation to LDL-C target level attainment. Methods: PLANET registry was designed as a non-interventional, retrospective, cross-sectional, multicentre disease registry for adult patients with heterozygous FH in the Czech Republic and Slovakia. Results: Overall, 1755 patients were enrolled at 32 sites specialized in FH treatment. 15.4% of patients attained the target LDL-C value. The proportion of patients with LDL-C goal achievement increased to 17.3% in the subgroup of patients receiving high-intensity statin therapy (54.6% of study population). Out of 55 patients receiving inhibitors of proprotein convertase subtilisin/kexin type 9 (PCSK9), 61.8% reached the LDL-C treatment goal. Of all cardiovascular events reported, 14.0% occurred in patients attaining the LDL-C goal, while it was 86.0% in the not-at-target group. It was documented (p= 0.004) that the longer is the patient in care at the specialized FH centre, the higher is the probability that he/she will attain the target LDL-C level. Conclusions: Although target LDL-C level attainment remains relatively low, the likelihood of LDL-C goal attainment increases with duration of specialized care.
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