{"id":42766,"date":"2026-10-09T17:06:27","date_gmt":"2026-10-09T11:36:27","guid":{"rendered":"https:\/\/mdforlives.com\/blog\/taux-de-cholesterol-ldl-apres-une-crise-cardiaque-pourquoi-les-cibles-sont-importantes-et-ce-qui-peut-gener\/"},"modified":"2026-10-14T17:56:07","modified_gmt":"2026-10-14T12:26:07","slug":"taux-cholesterol-apres-infarctus","status":"publish","type":"post","link":"https:\/\/mdforlives.com\/blog\/fr\/taux-cholesterol-apres-infarctus\/","title":{"rendered":"Taux de cholest\u00e9rol apr\u00e8s infarctus : pourquoi les objectifs comptent et quels obstacles peuvent survenir"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"42766\" class=\"elementor elementor-42766 elementor-42705\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ff00724 e-con-full e-flex e-con e-parent\" data-id=\"5ff00724\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-403a84c8 elementor-widget elementor-widget-text-editor\" data-id=\"403a84c8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s une crise cardiaque, faire baisser le cholest\u00e9rol LDL ne consiste pas simplement \u00e0 am\u00e9liorer le r\u00e9sultat de laboratoire suivant. Il fait partie de la pr\u00e9vention secondaire, visant \u00e0 r\u00e9duire le risque d\u2019un nouvel \u00e9v\u00e9nement cardiovasculaire ath\u00e9roscl\u00e9reuse.<\/p><p><span data-contrast=\"auto\">Cela fait du taux de cholest\u00e9rol apr\u00e8s infarctus un probl\u00e8me de suivi autant qu\u2019un probl\u00e8me de prescription. L\u2019objectif LDL-C peut \u00eatre clair \u00e0 la sortie, mais son atteinte d\u00e9pend de ce qui se passe ensuite : si le traitement est r\u00e9\u00e9valu\u00e9, intensifi\u00e9 lorsque n\u00e9cessaire, tol\u00e9r\u00e9, accessible et suivi de tests r\u00e9p\u00e9t\u00e9s.<\/span><\/p><p>Le rapport MDForLives Insight utilise le LDL-C inf\u00e9rieur \u00e0 55 mg\/dL comme r\u00e9f\u00e9rence pour les patients \u00e0 tr\u00e8s haut risque en pr\u00e9vention secondaire, refl\u00e9tant la directive multisoci\u00e9t\u00e9 ACC\/AHA de 2026 sur la dyslipid\u00e9mie cit\u00e9e dans le rapport. MDForLives a interrog\u00e9 des cardiologues dans six pays afin de comprendre o\u00f9 le parcours de la cible au contr\u00f4le \u00e0 long terme peut s\u2019effondrer.<\/p><p>Les r\u00e9sultats d\u00e9taill\u00e9s sont disponibles dans le<span style=\"color: #004c97;\"> <a style=\"color: #004c97;\" href=\"https:\/\/mdforlives.com\/insights\/doctors-and-other-healthcare-professionals\/cardiology\/ldl-c-targets-in-ascvd-why-secondary-prevention-still-falls-short\/\" target=\"_blank\" rel=\"noopener\">Cibles LDL-C de MDForLives dans le rapport d\u2019analyse ASCVD.<\/a><\/span><\/p><p><span data-contrast=\"auto\">La question pratique n\u2019est pas seulement : \u00ab Quel devrait \u00eatre le LDL-C ? \u00bb It i ss : que doit-il se passer apr\u00e8s la sortie pour que cet objectif reste cliniquement significatif ?<\/span><\/p><h2 aria-level=\"2\"><strong>La cible a besoin d\u2019une \u00e9tape suivante<\/strong><\/h2><p><span data-contrast=\"auto\">Apr\u00e8s un \u00e9pisode coronarien aigu, la partie la plus difficile est de garder visible l\u2019objectif de LDL-C une fois que le patient est pass\u00e9 en suivi. Dans le cours de MDForLives, 46,4 % des cardiologues estiment que 40 % \u00e0 59 % de leurs patients \u00e0 tr\u00e8s haut risque atteint un LDL-C inf\u00e9rieur \u00e0 55 mg\/dL.<\/span><\/p><p>Les \u00e9quipes doivent savoir quand les lipides seront rev\u00e9rifi\u00e9s, qui examinera le r\u00e9sultat, et ce qui se passe si le patient reste au-dessus de l\u2019objectif.<\/p><p><span data-contrast=\"auto\">Pour les professionnels qui g\u00e8rent le taux de cholest\u00e9rol apr\u00e8s un infarctus, la valeur de la cible r\u00e9side dans les d\u00e9cisions qu\u2019elle d\u00e9clenche.<\/span><\/p><h2 aria-level=\"2\"><strong>Un r\u00e9sultat au-dessus de l\u2019objectif devrait activer un plan<\/strong><\/h2><p>Les tests lipidiques r\u00e9p\u00e9t\u00e9s comptent car le r\u00e9sultat devrait mener quelque part. Dans l\u2019enqu\u00eate, 55,6 % des cardiologues ont d\u00e9clar\u00e9 que le LDL-C restant au-dessus de la cible malgr\u00e9 une tol\u00e9rance maximale de la th\u00e9rapie par statine \u00e9tait le d\u00e9clencheur le plus courant pour ajouter ou initier un traitement sans statine.<\/p><p><span data-contrast=\"auto\">Pour certains patients, atteindre la r\u00e9duction souhait\u00e9e du LDL-C peut n\u00e9cessiter une th\u00e9rapie d\u2019ombination par c. Le rapport aborde plusieurs options sans statine, la s\u00e9lection \u00e9tant d\u00e9termin\u00e9e par la r\u00e9duction requise du LDL-C, le risque cardiovasculaire, la tol\u00e9rance, la r\u00e9ponse ant\u00e9rieure, la pr\u00e9f\u00e9rence de voie et l\u2019acc\u00e8s.<\/span><\/p><p>L\u2019essentiel est de savoir si le plan peut amener le patient vers la cible tout en restant viable dans le temps. Un r\u00e9sultat sup\u00e9rieur \u00e0 la cible devrait lancer la prochaine d\u00e9cision clinique, et non simplement cr\u00e9er une nouvelle entr\u00e9e en laboratoire.<\/p><h2 aria-level=\"2\"><strong>L\u2019acc\u00e8s peut ralentir une d\u00e9cision cliniquement claire<\/strong><\/h2><p><span data-contrast=\"auto\">M\u00eamelorsque l\u2019\u00e9tape suivante du traitement est claire, la th\u00e9rapie peut ne pas atteindre rapidement le patient. Dans l\u2019enqu\u00eate, 34,0 % des cardiologues ont identifi\u00e9 les exigences strictes de la th\u00e9rapie par \u00e9tapes comme le principal d\u00e9fi administratif lors de la prescription de nouvelles th\u00e9rapies sans statines. Les r\u00e9pondants ont \u00e9galement rapport\u00e9 des charges d\u2019autorisation, des co\u00fbts \u00e0 leur charge et des retards dans les pharmacies sp\u00e9cialis\u00e9es.<\/span><\/p><p>Bien que les syst\u00e8mes d\u2019acc\u00e8s varient selon les pays, les r\u00e8gles de remboursement, les restrictions de formulaire, la documentation, le co\u00fbt, la disponibilit\u00e9 et les processus de dispensation peuvent s\u00e9parer la d\u00e9cision d\u2019intensifier la th\u00e9rapie du d\u00e9but effectif du traitement.<\/p><p>Pour le taux de cholest\u00e9rol apr\u00e8s un infarctus, ce d\u00e9lai est important. La d\u00e9cision clinique et le processus d\u2019acc\u00e8s devraient id\u00e9alement \u00e9voluer ensemble. Un plan de traitement n\u2019est utile que s\u2019il peut \u00eatre mis en \u0153uvre.<\/p><h2 aria-level=\"2\"><strong>Les sympt\u00f4mes doivent changer la direction, pas laisser l\u2019objectif non r\u00e9solu<\/strong><\/h2><p>La tol\u00e9rabilit\u00e9 peut perturber le chemind\u2019une mani\u00e8re diff\u00e9rente. Dans l\u2019enqu\u00eate MDForLives, 38,5 % des cardiologues ont d\u00e9clar\u00e9 que leur premi\u00e8re r\u00e9action \u00e0 l\u2019intol\u00e9rance aux statines rapport\u00e9e \u00e9tait d\u2019essayer une statine diff\u00e9rente, une dose plus faible ou un traitement sur deux jours. D\u2019autres ont rapport\u00e9 \u00eatre pass\u00e9s \u00e0 une th\u00e9rapie sans statine, avoir v\u00e9rifi\u00e9 des biomarqueurs, consult\u00e9 ou r\u00e9f\u00e9renc\u00e9 un linique lipidique(c-linic).<\/p><p>L\u2019id\u00e9e cl\u00e9 est que l\u2019intol\u00e9rance aux statines est un probl\u00e8me de gestion, et non simplement une d\u00e9cision d\u2019arr\u00eater ou de continuer. Si un sch\u00e9ma n\u2019est pas tol\u00e9r\u00e9, l\u2019\u00e9tape suivante devrait tout de m\u00eame concerner la r\u00e9duction du LDL-C.<\/p><p>L\u2019approche exacte peut varier selon les sympt\u00f4mes, le risque cardiovasculaire, les pr\u00e9f\u00e9rences du patient et les recommandations locales. L\u2019objectif est la continuit\u00e9 de la r\u00e9duction des risques tout en trouvant une strat\u00e9gie tol\u00e9rable.<\/p><h2 aria-level=\"2\"><strong>Le contr\u00f4le \u00e0 long terme d\u00e9pend de la propri\u00e9t\u00e9<\/strong><\/h2><p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-42733\" src=\"https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100.jpg\" alt=\"Infographie du cholest\u00e9rol LDL apr\u00e8s crise cardiaque montrant la surveillance cibl\u00e9e, intensification du traitement, barri\u00e8res d\u2019acc\u00e8s et suivi \u00e0 long terme\" width=\"1603\" height=\"827\" srcset=\"https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100.jpg 1603w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100-300x155.jpg 300w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100-1024x528.jpg 1024w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100-768x396.jpg 768w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/10\/4_Inner_LDL-Cholesterol-Levels-After-a-Heart-Attack-Why-Targets-Matter-and-What-Can-Get-in-the-Way@2x-100-1536x792.jpg 1536w\" sizes=\"(max-width: 1603px) 100vw, 1603px\" \/><\/p><p>La voie peut\u00eatre la plus vuln\u00e9rable apr\u00e8s la phase aigu\u00eb, lorsque les responsabilit\u00e9s sont partag\u00e9es entre \u00e9quipes et cadrements. L\u2019enqu\u00eate a r\u00e9v\u00e9l\u00e9 que 28,8 % des cardiologues identifiaient la d\u00e9sescalade en soins primaires ou l\u2019incapacit\u00e9 \u00e0 intensifier le traitement comme la plus forte baisse apr\u00e8s un \u00e9v\u00e9nement coronarien aigu, suivie de pr\u00e8s par l\u2019auto-discontinuation du patient. Le suivi manqu\u00e9, les changements de couverture ou de formulaire, ainsi que le retard du retest lipidique \u00e9taient des points d\u2019\u00e9chec suppl\u00e9mentaires.<\/p><p>Ces probl\u00e8mes diff\u00e8rent, mais ils partagent une caract\u00e9ristique : la continuit\u00e9 s\u2019est affaiblie. Un sch\u00e9ma de sortie fort peut perdre de l\u2019\u00e9lan si le prochain clinicien ne voit pas la m\u00eame cible ; Le patient arr\u00eate le traitement, les tests r\u00e9p\u00e9t\u00e9s sont manqu\u00e9s, ou un probl\u00e8me d\u2019acc\u00e8s n\u2019est pas r\u00e9solu.<\/p><blockquote><p><em>La pr\u00e9vention cardiovasculaire \u00e0 long terme implique souvent plusieurs m\u00e9dicaments et n\u00e9cessite une attention continue \u00e0 la s\u00e9curit\u00e9 du traitement, \u00e0 l\u2019adh\u00e9sion et au suivi. Explorez le r\u00f4le de <a style=\"color: #004c97;\" href=\"https:\/\/mdforlives.com\/blog\/oral-anticoagulants\/\" target=\"_blank\" rel=\"noopener\">Anticoagulants oraux en soins cardiovasculaires. <\/a><\/em><\/p><\/blockquote><p><span data-contrast=\"auto\">Pour un contr\u00f4le durable, il faut qu\u2019une personne prenne possession du prochain bilan lipidique, la r\u00e9ponse \u00e0 un r\u00e9sultat au-dessus de la cible, les barri\u00e8res d\u2019acc\u00e8s et les discussions sur les sympt\u00f4mes ou la charge du traitement.<\/span><\/p><p><span data-contrast=\"auto\">Le suivi fait partie de la gestion des lipides.<\/span><\/p><h2 aria-level=\"2\"><strong>Perspective de fermeture : la cible a besoin d\u2019une boucle ferm\u00e9e<\/strong><\/h2><p><span data-contrast=\"auto\">La cible LDL-C apr\u00e8s une crise cardiaque est cliniquement importante, mais conna\u00eetre le chiffre n\u2019est pas suffisant. Un patient peut quitter l\u2019h\u00f4pital avec un traitement appropri\u00e9 et rester au-dessus de son objectif parce que le traitement n\u2019a pas \u00e9t\u00e9 intensifi\u00e9, que l\u2019acc\u00e8s a retard\u00e9 la th\u00e9rapie pr\u00e9vue, que les sympt\u00f4mes ont modifi\u00e9 le sch\u00e9ma, que le traitement a \u00e9t\u00e9 arr\u00eat\u00e9, ou que le suivi n\u2019a pas conduit \u00e0 une action.<\/span><\/p><p><span data-contrast=\"auto\">Le probl\u00e8me commun est une rupture entre la reconnaissance de la cible et le suivi.<\/span><\/p><p><span data-contrast=\"auto\">Pour les professionnels qui g\u00e8rent le taux de cholest\u00e9rol apr\u00e8s un infarctus, la question utile n\u2019est pas seulement : \u00ab Qu\u2019est-ce que le LDL-C aujourd\u2019hui ? \u00bb<\/span><\/p><p>Une voie de pr\u00e9vention secondaire plus fiable permet de garder l\u2019objectif visible apr\u00e8s la sortie, de lier la r\u00e9p\u00e9tition des tests \u00e0 la r\u00e9vision du traitement, aborde l\u2019acc\u00e8s en parall\u00e8le de la prescription, g\u00e8re l\u2019intol\u00e9rance gr\u00e2ce \u00e0 un plan structur\u00e9 et pr\u00e9serve la propri\u00e9t\u00e9 au fur et \u00e0 mesure que les soins \u00e9voluent entre les \u00e9tablissements.<\/p><p>C\u2019est ainsi qu\u2019une cible LDL-C devient une strat\u00e9gie de pr\u00e9vention continue plut\u00f4t qu\u2019un chiffre revu trop tard.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b431c31 elementor-widget elementor-widget-heading\" data-id=\"b431c31\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questions fr\u00e9quemment pos\u00e9es<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa1f644 elementor-widget elementor-widget-n-accordion\" data-id=\"fa1f644\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2620\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-2620\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quels sont les taux cibles de cholest\u00e9rol apr\u00e8s un infarctus ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2620\" class=\"elementor-element elementor-element-bfafcd4 e-con-full e-flex e-con e-child\" data-id=\"bfafcd4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f0a8fb elementor-widget elementor-widget-text-editor\" data-id=\"9f0a8fb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW116994401 BCX8\" lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW116994401 BCX8\">Le rapport MDForLives cite la directive multisoci\u00e9t\u00e9 ACC\/AHA 2026 sur la dyslipid\u00e9mie, qui recommande un objectif de LDL-C inf\u00e9rieur \u00e0 55 mg\/dL pour les patients \u00e0 un taux tr\u00e8s \u00e9lev\u00e9 Risque de r\u00e9cidives d\u2019ASCVD. Les cibles doivent toujours refl\u00e9ter le risque global, la tol\u00e9rance, le contexte clinique et les directives locales applicables.<\/span><\/span><span class=\"EOP SCXW116994401 BCX8\" data-ccp-props=\"{\"134233117\":false,\"134233118\":false,\"335551550\":6,\"335551620\":6,\"335559738\":240,\"335559739\":240}\"> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2621\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2621\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Pourquoi le cholest\u00e9rol LDL pourrait-il rester au-dessus de la cible apr\u00e8s une crise cardiaque ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2621\" class=\"elementor-element elementor-element-78fac33 e-con-full e-flex e-con e-child\" data-id=\"78fac33\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f7c8106 elementor-widget elementor-widget-text-editor\" data-id=\"f7c8106\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW155485182 BCX8\" lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW155485182 BCX8\">Les raisons peuvent inclure un traitement d\u2019intensit\u00e9 insuffisant , un retard d\u2019escalade, des barri\u00e8res d\u2019acc\u00e8s, une intol\u00e9rance aux statines, l\u2019arr\u00eat des m\u00e9dicaments, un suivi manqu\u00e9 et un retard de tests r\u00e9p\u00e9t\u00e9s.<\/span><\/span><span class=\"EOP Selected SCXW155485182 BCX8\" data-ccp-props=\"{\"134233117\":false,\"134233118\":false,\"335551550\":6,\"335551620\":6,\"335559738\":240,\"335559739\":240}\"> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2622\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2622\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quand la th\u00e9rapie sans statine est-elle envisag\u00e9e ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2622\" class=\"elementor-element elementor-element-e124443 e-con-full e-flex e-con e-child\" data-id=\"e124443\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f3aaf15 elementor-widget elementor-widget-text-editor\" data-id=\"f3aaf15\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW31659495 BCX8\" lang=\"EN-US\" data-contrast=\"auto\">Le rapport d\u00e9crit un traitement sans statine lorsque le LDL-C reste au-dessus de l\u2019objectif sp\u00e9cifique du patient malgr\u00e9 une th\u00e9rapie \u00e0 statine largement tol\u00e9r\u00e9e, ou lorsque l\u2019intol\u00e9rance aux statines limite une diminution ad\u00e9quate du LDL-C.<\/span><span class=\"EOP Selected SCXW31659495 BCX8\" data-ccp-props=\"{\"134233117\":false,\"134233118\":false,\"335551550\":6,\"335551620\":6,\"335559738\":240,\"335559739\":240}\"> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2623\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2623\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Que se passe-t-il si un patient ne tol\u00e8re pas une statine \u00e0 haute intensit\u00e9 ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2623\" class=\"elementor-element elementor-element-15bfeb8 e-con-full e-flex e-con e-child\" data-id=\"15bfeb8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34e50fd elementor-widget elementor-widget-text-editor\" data-id=\"34e50fd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW96309942 BCX8\" lang=\"EN-US\" data-contrast=\"auto\">La prise en charge peut inclure l\u2019\u00e9valuation des sympt\u00f4mes, l\u2019essai d\u2019une autre statine, l\u2019utilisation d\u2019une dose plus faible ou d\u2019un calendrier de dosage alternatif, et l\u2019envie d\u2019une th\u00e9rapie sans statine lorsque cela est n\u00e9cessaire.<\/span><span class=\"EOP Selected SCXW96309942 BCX8\" data-ccp-props=\"{\"134233117\":false,\"134233118\":false,\"335551550\":6,\"335551620\":6,\"335559738\":240,\"335559739\":240}\"> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2624\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2624\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Pourquoi le suivi est-il important apr\u00e8s un \u00e9v\u00e9nement coronarien aigu ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2624\" class=\"elementor-element elementor-element-c511920 e-con-full e-flex e-con e-child\" data-id=\"c511920\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-faafb0e elementor-widget elementor-widget-text-editor\" data-id=\"faafb0e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW155339074 BCX8\" lang=\"EN-US\" data-contrast=\"auto\">Le contr\u00f4le du LDL-C peut s\u2019affaiblir lorsque le traitement est d\u00e9sintensifi\u00e9 ;Le traitement est arr\u00eat\u00e9, le suivi est manqu\u00e9, les changements d\u2019acc\u00e8s ou les tests r\u00e9p\u00e9t\u00e9s n\u2019ont pas lieu. Une propri\u00e9t\u00e9 claire aide \u00e0 maintenir actif le plan de pr\u00e9vention secondaire.<\/span><span class=\"EOP Selected SCXW155339074 BCX8\" data-ccp-props=\"{\"134233117\":false,\"134233118\":false,\"335551550\":6,\"335551620\":6,\"335559738\":240,\"335559739\":240}\"> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Quels sont les taux cibles de cholest\\u00e9rol apr\\u00e8s un infarctus ?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Le rapport MDForLives cite la directive multisoci\\u00e9t\\u00e9 ACC\\\/AHA 2026 sur la dyslipid\\u00e9mie, qui recommande un objectif de LDL-C inf\\u00e9rieur \\u00e0 55 mg\\\/dL pour les patients \\u00e0 un taux tr\\u00e8s \\u00e9lev\\u00e9 Risque de r\\u00e9cidives d\\u2019ASCVD. 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