Stefano Romeo: The Cardiovascular Patient Journey is Still Full of Gaps
Stefano Romeo, Professor at University of Gothenburg, shared a post on LinkedIn about a recent article by Julia Brandts and her colleagues co-authored, published in European Journal of Preventive Cardiology, adding:
“We know the risk. But do we act on it?
The cardiovascular patient journey is still full of gaps — and every gap can become a missed opportunity.
In more than 770,000 young adults, only 28 percent of those with LDL-C ≥190 mg/dL had started treatment within 1 year. Even after 5 years, fewer than half had done so.
And the problem does not disappear once cardiovascular disease is established. In INTERASPIRE, only about 1 in 5 people with coronary heart disease reached LDL-C <1.4 mmol/L.
- Risk identified.
- Treatment delayed.
- Targets missed.
These data point to a systems problem: testing, diagnosis, treatment initiation, intensification and follow-up do not always translate into a continuous care pathway.
The next major opportunity in cardiovascular prevention may not only be finding risk earlier — but acting on it earlier and ensuring that people do not get lost along the way.
Read the studies: Follow-Up Lipid Testing and Statin Initiation Among Young Adults.”
Title: International patterns in lipid management and implications for patients with coronary heart disease: results from the INTERASPIRE study
Authors: Julia Brandts, Fotios Barkas, Dirk De Bacquer, Catriona Jennings, Guy G De Backer, Kornelia Kotseva, Lars Ryden, Gregory Y H Lip, Iris Erlund, Sandra Ganly, Terhi Vihervaara, Agnieszka Adamska, Ana Abreu, Wael Almahmeed, Ade Meidian Ambari, Junbo Ge, Hosam Hasan-Ali, Yong Huo, Piotr Jankowski, Rodney M Jimenez, Yong Li, Ahmad Syadi Mahmood Zuhdi, Abel Makubi, Amam Chinyere Mbakwem, Lilian Mbau, Jose Luis Navarro Estrada, Okechukwu Samuel Ogah, Elijah Nyainda Ogola, Adalberto Quintero–Baiz, Mahmoud Umar Sani, Maria Ines Sosa Liprandi, Jack Wei Chieh Tan, Miguel Alberto Urina Triana, Tee Joo Yeo, David Wood, John William McEvoy, Kausik K Ray
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