Background: Dyslipidemia is a common cardiovascular risk factor in clinical practice, increasing dangerous cardiovascular complications. rosuvastatin is a statin commonly recommended for use in many countries worldwide. Therefore, it is necessary to conduct a study to evaluate its effectiveness and safety in patients with chronic coronary artery disease(CAD). 

 

Objectives: To determine the rate of serum LDL-c goal failure and investigate the factors associated with the serum LDL-c target failure rate in patients with chronic coronary artery disease treated with rosuvastatin 10mg≥4 weeks. 

Materials and methods: A cross-sectional study on 206 patients diagnosed with CAD treated with rosuvastatin 10mg ≥4 weeks at Can Tho Cardiovascular Hospital from April 2021 to March 2022.  

Results: The percentage of patients who did not reach the target LDL-c < 1.8mmol/l accounted for 68.4% and LDL-c <1,4 mmol/L accounted for 84,6%. The proportion of patients with LDL-c disorder according to NCEP-ATP III 2004: the optimal level is 70.87%, the near-normal level is 15.53%, the borderline high is 7.77%, the high level is 4.85%, the very high increase is 0.97%. 

Cardiovascular risk factors: the prevalence of obesity and overweight is 62.6%, smoking is 24.3%, physical inactivity is 56.3%, hypertension is 58.7%, and diabetes is 41.3%. Female gender, BMI, overweight and obesity, and physical inactivity are associated with the rate of not reaching the target LDL-c <1.8mmol/l and LDL-c < 1,4 mmol/L (p<0.05). 

Conclusion: The proportion of patients who did not match the target of LDLc < 1.8mmol/l accounted for 68.4% and LDL-c < 1,4 mmol/L accounted for 84,6%.. Female gender, BMI, overweight and obesity, and physical inactivity were associated with the rate of not reaching the target LDL-c  <1.8 mmol/l and LDL-c < 1,4 mmol/L (p<0.05).