• Dian Sidik Arsyad, Nurul Qalby, Andriany Qanitha, Idar Mappangara, Wilis Milayanti, WahiduddinDepartment of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia., AnsariadiDepartment of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia., VisserenFrank L JFLJDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands., Maarten J Cramer, Pieter A Doevendans, and Steven H J Hageman.
• Division of Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, Utrecht, the Netherlands.
• J Eval Clin Pract. 2025 Feb 1; 31 (1): e14311e14311.

RationaleEstablished coronary artery disease (CAD) patients are at increased risk for recurrence of cardiovascular events and mortality due to non-attainment of recommended risk factor control targets.ObjectiveWe aimed to evaluate the attainment of treatment targets for risk factor control among CAD patients as recommended in the Indonesian CVD prevention guidelines.MethodsPatients were consecutively recruited from the Makassar Cardiac Center at Wahidin Sudirohusodo Hospital, Indonesia. Targets for systolic blood pressure (SBP < 140 mmHg), low-density lipoprotein-cholesterol (LDL-C < 1.8 mmol/L), body mass index (BMI: 20-25 kg/m2), non-smoking status and antithrombotic use were assessed according to the national guideline. Attainment levels were evaluated in CAD population subgroups using logistic regression to identify patients who required more intensive monitoring.ResultsA total of 395 CAD patients (median age: 57 years (IQR: 49-65), 63.8% men) were recruited between February and June 2021. We observed that 1.8% of the CAD patients met all risk factor treatment targets. LDL-C had the lowest attainment level (5.1%), followed by BMI (59.7%), SBP (62.8%), antithrombotic usage (76.7%) and non-smoking status (94.4%). Apart from lower attainment of SBP control in the 50+ years age group (aOR: 0.57, 95% CI: 0.35-0.94) and women (aOR: 0.53, 95% CI: 0.34-0.83), the attainment levels of other risk factors were consistently low across age, sex, marital status and educational subgroups.ConclusionThese findings emphasize the urgent need for effective management and heightened awareness, particularly for controlling LDL-C in the CAD population. Action to address this issue is crucial for mitigating the CVD burden, particularly in low- and middle-income countries such as Indonesia.© 2025 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.

27 keywords...

hide…