Hypercholesterolemia - Who, when, how to treat?

被引：0

作者：

Merkel, Martin ^{[1
]}

机构：

[1] Endokrinologikum, Hamburg, Germany

来源：

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT | 2023年 / 148卷 / 17期

关键词：

CORONARY-HEART-DISEASE; FAMILIAL HYPERCHOLESTEROLEMIA; RISK; CHOLESTEROL; EVOLOCUMAB; EZETIMIBE; EFFICACY; THERAPY; PROGRAM; SAFETY;

D O I：

10.1055/a-1956-9851

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In recent years, clinical scientific data on LDL cholesterol and atherosclerosis has led to lowering of LDL-C targets and the expansion of the indication for lipid drug therapy to larger populations or patients. The calculators SCORE2 and SCORE-OP were newly developed to calculate the cardiovascular risk in primary prevention. When assessing the cardiovascular risk of patients, in addition to e.g., pre-existing cardiovascular disease, familial hypercholesterolaemia and type II diabetes, type I diabetes, diabetic complications, renal insufficiency and subclinical arteriosclerosis are also considered. Statins are the basic therapy for hypercholesterolemia. Alternative medication are ACL inhibitors e.g., Bempedoic acid and Inclisiran which represent new drug therapy options for statin intolerance. Nevertheless, a dietary intervention belongs at the beginning of every lipid-lowering therapy. © 2023 Georg Thieme Verlag. All rights reserved.

引用

页码：1088 / 1094

页数：7

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