Research Article

Lipid Lowering Treatment and Eligibility for PCSK9 Inhibition in Post-Myocardial Infarction Patients in Italy: Insights from Two Contemporary Nationwide Registries

Table 2

Pharmacological therapy at discharge/end visit according to baseline LDL-C levels.

Total (n. 3074)LDL-C < 70 mg/dl (n. 1186)LDL-C 70–99 mg/dl (n. 1150)LDL-C ≥ 100 mg/dl (n. 738)

Oral anticoagulants, (%)288 (9.4)110 (9.3)98 (8.5)80 (10.8)0.24
ASA, (%)2785 (90.6)1086 (91.6)1050 (91.3)649 (87.9)0.02
Thienopyridine, § (%)1597 (52.0)614 (51.8)556 (48.4)427 (57.9)0.0003
ASA/thienopyridine, (%)2946 (95.8)1140 (96.1)1103 (95.9)703 (95.3)0.64
DAPT (ASA + thienopyridine), (%)1436 (46.7)560 (47.2)503 (43.7)373 (50.5)0.01
ACE-inhibitors, (%)1735 (56.4)694 (58.5)635 (55.2)406 (55.0)0.18
ARBs, (%)690 (22.5)269 (22.7)274 (23.8)147 (19.9)0.14
ACE/ARBs2405 (78.2)958 (80.8)902 (78.4)545 (73.9)0.002
Beta-blockers, (%)2457 (79.9)976 (82.3)914 (79.5)567 (76.8)0.01
Mineralcorticoid antagonists (MRAs), (%)334 (10.9)138 (11.6)123 (10.7)73 (9.9)0.48
Statins, (%)2928 (95.3)1152 (97.1)1106 (96.2)670 (90.8)<0.0001
Low-dose statins286 (9.3)105 (8.9)130 (11.3)51 (6.9)0.005
High-intensity statins1888 (61.4)753 (63.5)690 (60.0)445 (60.3)0.17
Dose of statins (mg), mean SD)
 Atorvastatin40 [40-40]40 [20–40]40 [40-40]40 [40–80]0.0009
 Fluvastatin80 [80-80]45 [10–80]80 [80-80]0.41
 Lovastatin20 [20–40]30 [20–40]20 [20–40]40 [20–40]0.66
 Pravastatin40 [40-40]40 [40-40]40 [40-40]40 [40-40]0.73
 Rosuvastatin15 [10–20]10 [10–20]20 [10–20]20 [10–20]0.09
 Simvastatin20 [20–40]20 [20–40]20 [20–40]40 [20–40]0.02

ASA, aspirin; DAPT, dual antiplatelet therapy, ACE angiotensin converting enzyme; ARB, angiotensin receptor blockers.§Clopidogrei/prasugrel/ticagrelor/ticlopidina.