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Management of Cardiovascular Risk: The Importance of Meeting Lipid Targets

机译:心血管风险的管理:达到血脂目标的重要性

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摘要

Strategies to reduce cardiovascular risk in primary and secondary prevention focus on optimization of low-density lipoprotein (LDL) cholesterol levels. Since the 2004 update of the Adult Treatment Panel (ATP) III guidelines, developments in the field of preventive cardiology have included new guidelines for women and for familial hypercholesterolemia; a risk assessment algorithm incorporating the inflammatory marker high-sensitivity C-reactive protein (hsCRP); and clinical trial data confirming the efficacy of aggressive lipid management. Within secondary prevention in particular, there is a need for more widespread use of intensive statin therapy to achieve low LDL cholesterol levels to reduce cardiovascular morbidity and mortality in patients at high risk for recurrent events. Within primary prevention, individuals with diabetes mellitus, mixed dyslipidemia, or elevated hsCRP also are at increased risk and may warrant treatment with aggressive lipid-modifying therapy. In this article, we provide an update on recent guidelines, risk algorithms, and trials related to the prevention and treatment of coronary artery disease.
机译:在一级和二级预防中降低心血管风险的策略集中在优化低密度脂蛋白(LDL)胆固醇水平上。自2004年成人治疗小组(ATP)III指南更新以来,预防性心脏病学领域的发展包括针对妇女和家族性高胆固醇血症的新指南;结合了炎症标志物高敏C反应蛋白(hsCRP)的风险评估算法;和临床试验数据证实了积极的脂质管理的功效。特别是在二级预防中,需要更广泛地使用他汀类药物强化疗法以达到低LDL胆固醇水平,以降低复发事件高风险患者的心血管发病率和死亡率。在一级预防中,患有糖尿病,混合血脂异常或hsCRP升高的个体也处于增加的风险中,并可能需要采用积极的脂质修饰疗法进行治疗。在本文中,我们提供了有关预防和治疗冠心病的最新指南,风险算法和试验的更新。

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