TY - JOUR
T1 - Lipoprotein Management in Patients With Cardiometabolic Risk. Consensus Conference Report From the American Diabetes Association and the American College of Cardiology Foundation
AU - Brunzell, John D.
AU - Davidson, Michael
AU - Furberg, Curt D.
AU - Goldberg, Ronald B.
AU - Howard, Barbara V.
AU - Stein, James H.
AU - Witztum, Joseph L.
PY - 2008/4/15
Y1 - 2008/4/15
N2 - Patients with cardiometabolic risk factors represent a group at high lifetime risk for CVD. These patients frequently have dyslipoproteinemia (low HDL cholesterol, increased triglycerides, and/or an increased number of small LDL particles). We recommend an assessment of global risk followed by a multifactorial risk reduction strategy for such individuals targeting each risk factor and emphasizing both lifestyle and pharmacologic therapy. In terms of dyslipoproteinemia, we recommend the following:•Statin therapy for the majority of dyslipoproteinemic adult patients with CMR•For patients with CMR on statin therapy, guiding therapy with measurements of apoB and treatment to apoB goals in addition to LDL cholesterol and non-HDL cholesterol assessments•Treatment goals, summarized in Table 1, that address the high lifetime risk of patients with dyslipoproteinemia and CMR.•Clinical trials to determine whether the pharmacologic therapy required to achieve very low levels of atherogenic lipoproteins is safe and cost-effective•A concerted, multifaceted, public health effort, focused on lifestyle modification, to reduce mean population levels of atherogenic lipoproteins to values well below current ones.
AB - Patients with cardiometabolic risk factors represent a group at high lifetime risk for CVD. These patients frequently have dyslipoproteinemia (low HDL cholesterol, increased triglycerides, and/or an increased number of small LDL particles). We recommend an assessment of global risk followed by a multifactorial risk reduction strategy for such individuals targeting each risk factor and emphasizing both lifestyle and pharmacologic therapy. In terms of dyslipoproteinemia, we recommend the following:•Statin therapy for the majority of dyslipoproteinemic adult patients with CMR•For patients with CMR on statin therapy, guiding therapy with measurements of apoB and treatment to apoB goals in addition to LDL cholesterol and non-HDL cholesterol assessments•Treatment goals, summarized in Table 1, that address the high lifetime risk of patients with dyslipoproteinemia and CMR.•Clinical trials to determine whether the pharmacologic therapy required to achieve very low levels of atherogenic lipoproteins is safe and cost-effective•A concerted, multifaceted, public health effort, focused on lifestyle modification, to reduce mean population levels of atherogenic lipoproteins to values well below current ones.
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U2 - 10.1016/j.jacc.2008.02.034
DO - 10.1016/j.jacc.2008.02.034
M3 - Review article
C2 - 18402913
AN - SCOPUS:41549118416
VL - 51
SP - 1512
EP - 1524
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
SN - 0735-1097
IS - 15
ER -