Treatment of dyslipidaemias

Extract

• The aim of treatment is to:
  • reduce the risk of atherosclerotic diseases
    • In people with no arterial disease, the risk can be assessed with a calculator, such as the HeartScore^® https://www.escardio.org/Education/Practice-Tools/CVD-prevention-toolbox/HeartScore1.
  • prevent worsening of arterial disease.
• Lifestyle modification is of primary importance in all patients.
• Secondary hypercholesterolaemia (associated with hypothyroidism, for instance) must be excluded before starting medication.
• The general goal of treatment is to lower plasma LDL cholesterol levels to:
  • below 3.0 mmol/l in low risk patients
  • below 2.6 mmol/l in moderate risk patients
  • below 1.8 mmol/l in high risk patients
  • below 1.4 mmol/l, as far as possible, in very high risk patients.
• In hypertriglyceridaemia, triglyceride levels must be below (5–)10 mmol/l to reduce the risk of pancreatitis.

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Aged, Arteriosclerosis, Atherosclerosis, Blood lipids, Cardiology, Cholesterol, Cholesterol, HDL, Cholesterol, LDL, Coronary Disease, Diabetes Mellitus, Dyslipidaemia, Dyslipidemia, E78*, Endocrinology, Hypercholesterolemia, Hyperlipidemia, Hyperlipoproteinemia Type IV, Internal medicine, Intracranial Arteriosclerosis, Lipids, Statin, Statins, Triglycerides, hypercholesterolemia, secondary