HELLO & WELCOME TO HCM FORUM
THERAPY OF DYSLIPIDAEMIA DEPENDS ON YOUR RISK FACTOR
YOU CAN GO FOR ATP PANEL III GUIDELINES ON INTERNET
FOR YOUR KNOWLEDGE I AM GIVING YOU LITTLE BIT
RISK FACTORS INCLUDE
1) CIGARETTE SMOKING
2)
HYPERTENSION (BP 140/90 MMHG OR ON
ANTIHYPERTENSIVE MEDICATION)
3) LOW
HDL CHOLESTEROLA [
4)
DIABETES MELLITUS
5) FAMILY HISTORY OF PREMATURE CHD
CHD IN MALE FIRST-DEGREE RELATIVE
CHD IN FEMALE FIRST-DEGREE RELATIVE
6) AGE (MEN 45 YEARS; WOMEN 55 YEARS)
7) LIFESTYLE RISK FACTORS
OBESITY (BMI 30 KG/M2)
PHYSICAL INACTIVITY
ATHEROGENIC DIET
8) EMERGING RISK FACTORS
LIPOPROTEIN(A)
HOMOCYSTEINE
PROTHROMBOTIC FACTORS
PROINFLAMMATORY FACTORS
IMPAIRED FASTING GLUCOSE
SUBCLINICAL ATHEROGENESIS
IF YOU HAVE ONE RISK FACTOR THEN THERAPY IS INDIACTED WHEN LDL >190
IF 2 RISK FACTOR AND 10 YEARS RISK IS 10-20% THEN THERAPY IS INDICATED LDL>160
IF 2 RISK FACTOR AND 10 YEARS RISK IS >20% THEN THERAPY IS INDICATED LDL>130
IF YOU HAVE POSITIVE FAMILY HISTORY OF
HEART DISEASE & DM THEN LDL SHOULD BE 100
BUT FOR A DIABETIC PATIENT ITS BETTER TO KEEP LDL AT 70
YOUCAN CALCULATE YOUR RISK FACTOR AND CAN DECIDE YOUR THERAPY
IF YOU DO NOT HAVE ANY RISK FACTOR THEN THERE IS NO NEED OF ANY LIPID LOWERING DRUG AND YOU SHOULD DECREASE THE AMOUNT OF OIL AND GHEE IN YOUR EDIBLES
THERE ARE GENERALLY TWO SIDE EFFECT :
LIVER DYSFUNCTION AND MUSCLE
INJURY.
TAKE CARE
DR.MAYANK BHARGAVA