Thực trạng điều trị rối loạn lipid máu ở bệnh nhân hội chứng vành cấp cao tuổi tại Bệnh viện Thống Nhất

Dyslipidemia is the main factor of atherosclerosis. Pathogenesis of acute coronary syndrome (ACS) is associated with the rupture of the lipid-rich and unstable atheromatous plaque. Dyslipidemia treatment has been shown to prevent and reduce risk of cardiovascular events. However, the research of dyslipidemia treatment of ACS in elderly patients has its limits. Objectives: Research c-haracteristic of dyslipidemia and the rate achieved LDL-C goal (<1.8 mmol/L) of ACS in elderly patients. Methods: Descriptive and cross-sectional and longitudinal study in elderly patients (≥60 years old) with ACS hospitalised f-rom November 2019 to May 2020 in The Cardiovascular emergency and Intervention deparment at Thong Nhat Hospital, Ho Chi Minh City. We recorded lipid profile and the rate achieved LDL-C goal after hospitalization and three months later. Results: Analysis of 186 elderly patients (≥60 years old) with ACS hospitalised f-rom November 2019 to May 2020 in The Cardiovascular emergency and Intervention deparment at Thong Nhat Hospital: the average age of the sample was 73.9 years old, men accounted for 65.3%. The rate of dyslipidemia is 82.2%. In which, increase triglyceride (59.1%), decrease HDL-C (55.3%), increase total cholesterol (31.1%), increase LDL-C (23.6%), the average of LDL-C (2.6mmol/L). The rate achieved LDL-C goal after hospitalization is 22.1% and three months later is 59.1%. Conclusions: Almost ACS patients have dyslipidemia (82.2%). The highest rate is increase triglyceride and the lowest is increase LDL-C. The rate achieved LDL-C goal (<1.8 mmol/L) at three months later is 59.1%, increase three times when compared with after hospitalization.