%0 Journal Article
%T A consensus statement on lipid management after acute coronary syndrome
%A Eric Bruckert
%A Fran£żois Schiele
%A Jean Ferri¨¨res
%A Michel Farnier
%A Michel Krempf
%J European Heart Journal: Acute Cardiovascular Care
%@ 2048-8734
%D 2018
%R 10.1177/2048872616679791
%X In patients admitted for acute coronary syndrome (ACS), the guidelines of the European Society of Cardiology give a Class I, Level A recommendation for the prescription of high-intensity statins to be initiated as early as possible, regardless of the low-density lipoprotein cholesterol (LDL-C) level. Although statins are widely prescribed after ACS, the intensity of therapy and the proportion of patients achieving target LDL-C values are often not in line with recommendations due to a lack of compliance with guidelines by the physicians, a lack of compliance with treatment or poor tolerance by patients, and poor dose adaptation. In this context, a group of French physicians came together to define strategies to facilitate and improve the management of lipid-lowering therapy after ACS. This paper outlines the scientific rationale for the use of statins at the acute phase of ACS, the utility of ezetimibe, the measurement of LDL-C during the course of ACS, the opportunities for detecting familial hypercholesterolaemia and the results of the consensus for the management of lipid-lowering therapy, illustrated in two decision-making algorithms
%K Acute coronary syndrome
%K statins
%K ezetimibe
%K lipid-lowering therapy
%K familial hypercholesterolaemia
%K LDL cholesterol
%U https://journals.sagepub.com/doi/full/10.1177/2048872616679791