2013 Volume 13 Issue 4 Pages 180-184
While many clinical guidelines have been widely published, secondary prevention therapies for coronary artery disease (CAD) were sometimes underused in daily clinical practice. The liaison critical pathway (LCP) for CAD was based mainly on the guidelines in CAD secondary prevention. We investigated the effect of the LCP for primary physicians on lifestyle modification for patients with CAD. The total subjects of LCP for CAD were 280 patients and 80 primary physicians. We conducted a survey to 235 community physician members, and obtained 79 responses (33.2%).
The physicians with more than 5 cases of the LCP for CAD were higher in the guidance ratio of the treatment goals of hyperglycemia and dyslipidemia, the restriction of saturated fatty acid, the high intake of ω3 fatty acid, work life balance guidance. This high-LCP-experience group scored high in delivering adequate target values of glucose and lipid metabolism, and LCP was evaluated to be very effective for the management of CAD.
The LCP for CAD was guide for the primary physicians to improve the patient's lifestyle modification.
