Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, India.
Indian Heart J. 2024 Mar;76 Suppl 1(Suppl 1):S138-S140. doi: 10.1016/j.ihj.2024.01.006. Epub 2024 Jan 10.
Lipid lowering therapies is well-established to prevent cardiovascular events in adults with dyslipidemia and multiple risk factors. However, global clinical usage of LLT,particularly statins remains suboptimal, with adherence low rates for primary prevention and secondary prevention. Low adherence is influenced by concerns about side effects, misconceptions about benefits. Patients often discontinue statins due to perceived side effects, despite clinical trials showing no increase in symptoms compared to placebo. Poor understanding of statin benefits, doubts about their necessity, and suspicions of over prescription contribute to nonadherence, which is often amplified by negative portrayal of LLT specialy statins on social media. Strategies to improve adherence include addressing patient concerns, enhancing physician-patient communication, and increasing patient education. Optimizing statin usage and reducing the burden of cardiovascular disease necessitates addressing patient perceptions and improving communication between healthcare providers and patients.
降脂治疗在患有血脂异常和多种危险因素的成年人中已被证实可预防心血管事件。然而,降脂治疗的全球临床应用,特别是他汀类药物的应用仍不理想,初级预防和二级预防的依从率都较低。低依从性受到对副作用的担忧、对益处的误解的影响。尽管临床试验表明与安慰剂相比,他汀类药物没有增加症状,但由于认为存在副作用,患者常常停用他汀类药物。对他汀类药物益处的理解不足、对其必要性的怀疑以及对过度处方的怀疑导致了不遵医嘱,社交媒体上对降脂治疗特别是他汀类药物的负面描述往往会放大这种不遵医嘱的情况。提高依从性的策略包括解决患者的担忧、加强医患沟通和增加患者教育。优化他汀类药物的使用并降低心血管疾病的负担需要解决患者的认知问题并改善医疗保健提供者与患者之间的沟通。