Ra. Vogel, LACK OF INTENSIVE TREATMENT OF CHD RISK-FACTORS - COULD THE PHYSICIANBE THE MOST IMPORTANT RISK FACTOR, American journal of managed care, 3, 1997, pp. 40-43
Interventions that reduce the risk of CHD are widely underused by phys
icians. Data overwhelmingly support the use of statins to lower total
cholesterol and LDL-C levels, yet less than 25% of patients with coron
ary heart disease in the United States are treated with lipid-lowering
drugs. Perhaps the physician is the most important risk factor for un
deruse of cholesterol-lowering strategies. Effective programs that are
nurse-based can improve delivery of risk factor management in patient
s hospitalized for CHD. A model program has been implemented at the Un
iversity of Maryland.