Coronary disease & ACSCross-sectional study

The acute coronary syndrome (ACS) EuroPath survey series: time trends in lipid management after an acute coronary syndrome

Eur J Prev CardiolPublished

  • Repeated cross-sectional survey
  • same methodology in 2024, 2022 and 2018
  • 6 European countries

Authors' conclusion

The survey shows earlier lipid assessment, increased combination therapy use, and improved LDL-C goal achievement over time.

Study context

Population
Patients with ACS in the acute and follow-up phases, reported by cardiologists from 6 European countries530 cardiologists
Participants
2,650 patients
Exposure
Lipid management after ACS in 2024 vs 2022 vs 2018
Outcome
Cardiologists' lipid management practice in the acute and follow-up phases

Main finding

As reported in the abstract

Lipid management practice

Lipid testing in acute phase

High-intensity statin monotherapy at discharge

Statin + ezetimibe

LDL-C goal attainment

Observational data: associations, not effects.

Further findings

High-intensity statin monotherapy at discharge · decreased

Statin + ezetimibe prescription · increased over time

LDL-C goal attainment · most patients not treated to LDL-C goals

LDL-C testing, acute phase

LDL-C tested in acute phase patients, similar to 2022 and 2018
97%

Trained vs main group of cardiologists (subgroup)

Trained cardiologists showed improvements in lipid testing and therapies

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The ACS EuroPath survey series: time trends in lipid management after an acute coronary syndrome. Eur J Prev Cardiol. Published 1 July 2025. doi:10.1093/eurjpc/zwaf399

Summarised from the published abstract; every number is checked against it