UCLA Comprehensive Atherosclerosis Treatment Program Medication Goals

1. Front Back • UCLA Comprehensive Atherosclerosis • Treatment Program Medication Goals • All patients with coronary, other vascular disease, or diabetes treated with aspirin and/or clopidogrel* • All patients with coronary, other vascular disease, or diabetes treated with a statin* (dosed to achieve LDL < 100 mg/dl) • All patients with coronary, other vascular disease, or diabetes treated with an ACE inhibitor* • All patients with coronary, other vascular disease, or diabetes treated with a beta blocker* • * unless contraindicated, not tolerated, or reason for • not using documented in the medical record • Achieve Targets • LDL < 100 mg/dl, HDL > 40 mg/dl • BP < 140/90 mmHg • Smoking Cessation • LDL Treatment to Goal Guide • Baseline % reduction to goal • LDL Levelof LDL < 100 mg/dl • 115 mg/dl 13% • 120 mg/dl 17% • 125 mg/dl 21% • 130 mg/dl 24% • 140 mg/dl 29% • 150 mg/dl 34% • 160 mg/dl 38% • 170 mg/dl 42% • 180 mg/dl 45% • 190 mg/dl 48% • SimvastatinLovastatin Atorvastatin • 10 mg 22% 10 mg 22% 10 mg 34% • 20 mg 31% 20 mg 25% 20 mg 41% • 40 mg 38% 40 mg 31% 40 mg 48% • 80 mg 45% 80 mg 41% 80 mg 51% • PravastatinFluvastatin • 10 mg 22% 20 mg 20% • 20 mg 27% 40 mg 27% • 40 mg 32% 80 mg 32% • 80 mg 37% • Visit www.med.ucla.edu/champ for further details •  2002 CHAMP, UCLA Division of Cardiology

2. UCLA Critical Pathway Overview for UA/NSTEMI Unstable Angina/ Non–ST-elevation MI* ASA, Clopidogrel, -blockers, ACEI, statin Heparin or LMWH ECG + and/or cTnI + Troponin - Conservative Strategy Invasive Strategy Rest pain 6hr cTnI - / ECG- GPIIb/IIa RA + DC home or ETT Hour 8-12 Cath/PCI Hour (0-6) D/C Day hour 18-24 D/C home hour 8-16 ASA, Clopidogrel, -blockers, ACEI, statin