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FACTORS AFFECTING LDL-C CONTROL IN PATIENTS WITH CHRONIC CORONARY SYNDROME AT THAI BINH GENERAL HOSPITAL
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Abstract
Objective: To determine the proportion of patients achieving LDL-C targets and analyze the factors influencing LDL-C control in patients with chronic coronary syndrome at Thai Binh General Hospital. Methods: A cross-sectional descriptive study was conducted on 198 patients diagnosed with chronic coronary syndrome. Data were collected from medical records, LDL-C test results, and patient interviews. Statistical analysis was performed using SPSS 26.0, employing Chi-square tests, t-tests, and multivariate logistic regression to identify factors related to LDL-C control. Results: 31.8% of patients achieved the LDL-C target (<1.8 mmol/L), while 68.2% did not. Key influencing factors: Good treatment adherence significantly increased the likelihood of achieving LDL-C targets (26.8% vs. 0%, p = 0.001). Physical activity and a healthy diet had significant impacts (p < 0.01). Smoking reduced the ability to control LDL-C (p = 0.03). Conclusion: The proportion of patients achieving LDL-C targets remains low. Optimizing statin therapy, enhancing patient education on medication adherence, and promoting a healthy lifestyle are essential for better lipid control.
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Keywords
LDL-C, chronic coronary syndrome, lipid control, risk factors, treatment adherence, lifestyle
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