LDL-C: lower is better for longer—even at low risk

Autor: Peter E. Penson, Matteo Pirro, Maciej Banach
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Medicine, Vol 18, Iss 1, Pp 1-6 (2020)
Druh dokumentu: article
ISSN: 1741-7015
DOI: 10.1186/s12916-020-01792-7
Popis: Abstract Background Low-density lipoprotein cholesterol (LDL-C) causes atherosclerotic disease, as demonstrated in experimental and epidemiological cohorts, randomised controlled trials, and Mendelian randomisation studies. Main text There is considerable inconsistency between existing guidelines as to how to effectively manage patients at low overall risk of cardiovascular disease (CVD) who have persistently elevated levels of LDL-C. We propose a step-by-step practical approach for the management of cardiovascular risks in individuals with low ( 140 mg/dL, 3.6 mmol/L) LDL-C. The strategy proposed is based on the level of adherence to lifestyle interventions (LSI), and in case of non-adherence, stepwise practical management, including lipid-lowering therapy, is recommended to achieve a target LDL-C levels (
Databáze: Directory of Open Access Journals
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