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Is lipid goal one-size-fits-all: A review of evidence for recommended low-density lipoprotein treatment targets in Asian patients

机译:脂质目标是单尺寸适合 - 全部:亚洲患者推荐的低密度脂蛋白治疗靶标的证据综述

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The international guideline recommendations for low-density lipoprotein cholesterol (LDL-C) lowering were made based on the results of randomized controlled trials (RCTs), meta-analyses, and observational studies mostly in the White population. It was not clear whether these LDL-C targets could be applicable to other ethnic groups, for example, Asian patients. This review aimed to address major aspects related to the lipid goal and statin therapy in Asia, including the epidemiology of cardiovascular disease, the LDL-C profiles, the lipid goals from localized guidelines, genetics and lifestyles, and the efficacy and safety of statins. Owing to the geographic, ethnic, genetic, and cultural diversity in this region, we observed a geographic pattern of diversity in cardiovascular epidemiology and statin response in Central Asia, East Asia (particularly for Asia-Pacific region), and South Asia. The rapidly growing literature from Asian countries questioning "lower is better" hypothesis was noticed. However, owing to the nature of these dominantly observational data, the conclusion was hardly confirmative. Despite the rapid expansion of the current literature in this region, efforts should be made to ensure an adequate sample size to assess the significance of a given lipid parameter on overall cardiovascular outcomes in this Asian population.
机译:基于随机对照试验(RCTS),荟萃分析和主要在白色人口的观察研究的结果,对低密度脂蛋白胆固醇(LDL-C)降低的国际指南提出。目前尚不清楚这些LDL-C目标是否适用于其他族裔群体,例如亚洲患者。该审查旨在解决与亚洲的脂质目标和他汀类药物治疗相关的主要方面,包括心血管疾病的流行病学,LDL-C型材,来自局部指南,遗传和生活方式的脂质目标以及他汀类药物的疗效和安全性。由于该地区的地理,种族,遗传和文化多样性,我们观察了中亚中亚(特别是亚太地区)和南亚的心血管流行病学和他汀类响应的地理模式。注意到亚洲国家的快速增长的文学质疑“更低”假设的假设。然而,由于这些主导的观察数据的性质,结论几乎没有确认。尽管该地区目前的文献迅速扩张,但应努力确保适当的样本量,以评估给定脂质参数对这一亚洲人口的整体心血管结果的重要性。

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