{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T06:54:19Z","timestamp":1778136859761,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>Established coronary artery disease (CAD) patients are at increased risk for recurrence of cardiovascular events and mortality due to non\u2010attainment of recommended risk factor control targets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to evaluate the attainment of treatment targets for risk factor control among CAD patients as recommended in the Indonesian CVD prevention guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were consecutively recruited from the Makassar Cardiac Center at Wahidin Sudirohusodo Hospital, Indonesia. Targets for systolic blood pressure (SBP\u2009&lt;\u2009140\u2009mmHg), low\u2010density lipoprotein\u2010cholesterol (LDL\u2010C\u2009&lt;\u20091.8\u2009mmol\/L), body mass index (BMI: 20\u201325\u2009kg\/m<jats:sup>2<\/jats:sup>), non\u2010smoking status and antithrombotic use were assessed according to the national guideline. Attainment levels were evaluated in CAD population subgroups using logistic regression to identify patients who required more intensive monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 395 CAD patients (median age: 57 years (IQR: 49\u201365), 63.8% men) were recruited between February and June 2021. We observed that 1.8% of the CAD patients met all risk factor treatment targets. LDL\u2010C had the lowest attainment level (5.1%), followed by BMI (59.7%), SBP (62.8%), antithrombotic usage (76.7%) and non\u2010smoking status (94.4%). Apart from lower attainment of SBP control in the 50+ years age group (aOR: 0.57, 95% CI: 0.35\u20130.94) and women (aOR: 0.53, 95% CI: 0.34\u20130.83), the attainment levels of other risk factors were consistently low across age, sex, marital status and educational subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings emphasize the urgent need for effective management and heightened awareness, particularly for controlling LDL\u2010C in the CAD population. Action to address this issue is crucial for mitigating the CVD burden, particularly in low\u2010 and middle\u2010income countries such as Indonesia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.14311","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T05:47:25Z","timestamp":1736747245000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Low Attainment of Treatment Targets for Cardiovascular Risk Factors in Indonesian Adults With Established Coronary Artery Disease"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-2011","authenticated-orcid":false,"given":"Dian Sidik","family":"Arsyad","sequence":"first","affiliation":[{"name":"Division of Heart and Lungs, Department of Cardiology, University Medical Center Utrecht University of Utrecht Utrecht the Netherlands"},{"name":"Department of Epidemiology, Faculty of Public Health Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurul","family":"Qalby","sequence":"additional","affiliation":[{"name":"Division of Heart and Lungs, Department of Cardiology, University Medical Center Utrecht University of Utrecht Utrecht the Netherlands"},{"name":"Department of Public Health and Family Medicine, Faculty of Medicine Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andriany","family":"Qanitha","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine Hasanuddin University Makassar Indonesia"},{"name":"Department of Cardiology and Vascular Medicine, Faculty of Medicine Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Idar","family":"Mappangara","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Faculty of Medicine Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilis","family":"Milayanti","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Faculty of Public Health Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Wahiduddin","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Faculty of Public Health Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Ansariadi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Faculty of Public Health Hasanuddin University Makassar Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank L. 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