Incidence of and factors associated with achieving target lipid levels in patients with peripheral arterial disease

Meggan R. Banta, Fangchao Ma, Dawn M. Bravata, Robert S. Kirsner, Daniel G. Federman

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

BACKGROUND: Patients with peripheral arterial disease (PAD) have increased mortality compared with patients without PAD. Coronary artery disease (CAD) accounts for almost 75% of deaths in PAD patients. Studies suggest that PAD is underdiagnosed and atherosclerotic risk factors undertreated when compared with CAD. OBJECTIVE: To determine whether cholesterol guidelines are being met in patients with PAD and to determine whether any independent factors increase the likelihood of reaching goal low-density lipoprotein (LDL). DESIGN: A retrospective chart review of subjects diagnosed with PAD in 2001 at 2 Veterans Affairs Medical Centers. MEASUREMENTS: Univariate analysis compares baseline characteristics between those reaching goal and those who do not. Multivariate logistic regression analysis identified predictors of meeting LDL goal among PAD patients. RESULTS: Of 315 patients, 62% reached goal LDL. Those more likely to reach goal were older, had hypertension, and a history of CAD and stroke. Positive predictors of LDL goal were age and CAD, while smoking was a negative predictor. CONCLUSION: The majority of veterans with PAD received lipid-lowering medication and achieve goal LDL, but they are more likely to do so if they are older than 70 and have a history of CAD.

Original languageEnglish (US)
Pages (from-to)711-714
Number of pages4
JournalJournal of general internal medicine
Volume21
Issue number7
DOIs
StatePublished - 2006

Keywords

  • Coronary artery disease
  • Hyperlipidemia
  • Peripheral arterial disease

ASJC Scopus subject areas

  • Internal Medicine

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