Lipid Management in Patients With Coronary Artery Disease by a Clinical Pharmacy Service in a Group Model Health Maintenance Organization

Abstract
Despite longstanding efficacy data for managing dyslipidemias, a significant gap remains between widely accepted,evidence-based treatment guidelines and routine clinical practice.1-8 Fewer than 32% of patients hospitalized with acute myocardial infarction receive lipid-lowering therapy at the time of discharge.8 Overall, only 37% of patients with documented coronary artery disease (CAD) attain target low-density lipoprotein cholesterol (LDL-C) levels less than 100 mg/dL (7 Even when prescribed appropriate therapy, patients with CAD discontinue lipid-lowering medications at rates as high as 60% during the first year.9,10