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Tom 12, Nr 1 (2017)
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Opublikowany online: 2017-01-29

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Dyslipidemia aterogenna w codziennej praktyce — interdyscyplinarny konsensus polskich ekspertów

Filip Szymański, Krzysztof J. Filipiak, Beata Wożakowska-Kapłon, Jacek P. Szaflik, Grzegorz Dzida, Iwona Kurkowska-Jastrzębska, Krzysztof Narkiewicz, Monika Łazicka-Gałecka, Robert J. Gil, Janusz Gumprecht
Folia Cardiologica 2017;12(1):33-49.

Streszczenie

Zaburzenia lipidowe są najbardziej rozpowszechnionym czynnikiem ryzyka chorób układu sercowo-naczyniowego w Polsce. Według najnowszych wytycznych towarzystw naukowych nadrzędnym celem terapii hipolipemizującej jest obniżenie stężenia cholesterolu frakcji LDL, niemniej jednak nie można nie doceniać wpływu, jaki na postęp zmian miażdżycowych w naczyniach tętniczych wywiera aterogenna dyslipidemia, czyli podwyższone stężenie triglicerydów (TG) i lipoprotein o bardzo małej gęstości (VLDL) zawierających TG oraz obniżone stężenie frakcji cholesterolu HDL (HDL-C). Wysokie stężenie TG i niskie stężenie HDL-C są niezależnymi czynnikami ryzyka zdarzeń sercowo-naczyniowych, które można skutecznie kontrolować i leczyć za pomocą statyn i fenofibratu. Poniższe stanowisko polskich ekspertów wielu dziedzin stanowi próbę podsumowania najnowszej wiedzy w dziedzinie dyslipidemii aterogennej i sformułowanie zaleceń dotyczących jej leczenia.

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