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ACCEPT
American College of Cardiology Evaluation of Preventive Therapeutics
Author(s)
Pearson TA, Peters TD, Feury D
Title(s)
The American College of Cardiology Evaluation of Preventive Therapeutics (ACCEPT) study: attainment of goals for comprehensive risk reduction in patients with coronary disease in the US
Reference(s)
J Am Coll Cardiol 1998;31 Suppl A:186A
Disease
Coronary heart disease
Purpose
To establish the extent to which American College of Cardiology and American Heart Association guidelines for comprehensive risk reduction in patients with coronary heart disease are implemented in the USA
Study design
Prospective
Follow-up
6 months
Patients
> 5000 consecutive patients admitted for first CABG (26%), first angioplasty (36%), acute MI (23%), or acute myocardial ischaemia (15%)
Treatment regimen
N/A
Results
A substantial proportion of patients still smoked, had elevated BP (> 140/90 mm Hg) or raised LDL cholesterol (> 100 mg/dl) 6 months after discharge. Aspirin usage was widespread, but many patients had not been given beta-blockers, lipid-lowering agents or, in the case of women, oestrogen
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