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Published online: 2025-03-07

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Interdisciplinary expert team statement on the treatment of multi-bed atherosclerotic disease — endorsed by Polish Cardiac Society, Polish Lipid Association, Polish Society of Diabetology, Polish Neurological Society, Polish Society of Nephrology

Krzysztof Dyrbuś1, Maciej Banach23, Robert Gil4, Mariusz Gąsior1, Marlena Broncel5, Ryszard Gellert6, Tomasz Stompór7, Piotr Jankowski89, Marek Gierlotka10, Marcin Gruchała11, Krystian Wita, Grzegorz Dzida, Przemysław Mitkowski, Irina Kowalska, Filip Szymański, Agnieszka Słowik, Jarosław Sławek, Anetta Lasek-Bal, Alina Kułakowska, Adam Kobayashi, Konrad Rejdak, Krzysztof Strojek, Maciej Małecki, Beata Naumnik, Magdalena Krajewska, Wacław Kuczmik, Maciej Wiewióra, Adam Witkowski

Abstract

Atherosclerosis is a systemic disease and involves not only the coronary vessels but also occurs in other vascular beds (e.g., cervical, cerebral, and peripheral vessels), increasing cardiovascular risk. One of the causes of atherosclerosis is lipid disorders. In addition, other diseases, such as diabetes, chronic kidney disease, or familial hypercholesterolemia, accelerate the development of multi-bed (multilevel) atherosclerosis. So far, such patients are often treated by physicians of various specialties, and in our country, there is no integrated system for managing these patients and their further treatment. This frequently results in the inability to achieve the therapeutic goals for low-density lipoprotein cholesterol set by the guidelines despite the availability of modern therapy for the treatment of lipid disorders in our country. The presented expert position paper postulates modification of the treatment of patients with multi-bed atherosclerosis by strengthening cooperation between physicians of many specialties (cardiologists, diabetologists, nephrologists, vascular surgeons, pediatricians, etc.) in order to improve the effectiveness of treatment and better educate the medical community and the treated patients.

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