Treatment of Hypercholesterolemia by a Clinical Nurse Using a Stepped-Care Protocol in a Nonvolunteer Population

Statin therapy after acute myocardial infarction: Are we adequately treating high-risk patients?

“…The need to hire additional medical personnel (ie, specialty trained nurses) may limit the application of this type of system outside of health maintenance organizations. Other studies have demonstrated improved treatment rates in specialty lipid clinics and cardiac rehabilitation programs, but these systems were applied to a selected patient population representing only a small proportion of the patients with coronary artery disease being cared for in the healthcare delivery system from which the patients were drawn [43,44]. Inhospital initiation of therapy can help to ensure lipidlowering treatment in patients who will not have access to outpatient disease management and preventive cardiovascular care programs.…”

Change in Cholesterol Awareness and Action

“…The ATP Guidelines designate dietary interventions as the cornerstone of therapy. 26,27 Likewise, the American public presents a continuing edu¬ cational challenge. Thus, many more patients are involved in diet modification.…”

Efficacy of Low-Dose Cholesterol-Lowering Drug Therapy in Men With Moderate Hypercholesterolemia

“…Dietary therapy and low-dose séques¬ trants each produce only moderate lowering of LDL lev¬ els, but in combination, they can yield substantial re¬ duction. 19 This, in fact, was observed ( Figure 3). The combination of the Step-One Diet and cholestyramine therapy produced an average lowering of total choles¬ terol and LDL cholesterol level ofabout 1.03 mmol/L (40 mg/dL).…”