Riesen Walter F, Virgini Vanessa, Vogt Bruno, Rodondi Nicolas
Rev Med Suisse. 2012 Mar 7;8(331):525-6, 528-30.
Lifestyle changes should be considered before anything else in patients with dyslipidemia according to the new guidelines on dyslipidemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). The guidelines recommend the SCORE system (Systematic Coronary Risk Estimation) to classify cardiovascular risk into four categories (very high, high, medium or low risk) as the basis for treatment decisions. HDL cholesterol, which is inversely proportional to cardiovascular risk, is included to the total risk estimation. In addition to calculating absolute risk, the guidelines contain a table with the relative risk, which could be useful in young patients with a low absolute risk, but high risk compared to individuals of the same age group.
根据欧洲心脏病学会（ESC）和欧洲动脉粥样硬化学会（EAS）发布的血脂异常新指南，对于血脂异常患者，应首先考虑改变生活方式。这些指南推荐使用SCORE系统（系统性冠状动脉风险评估）将心血管风险分为四类（极高、高、中或低风险），作为治疗决策的依据。高密度脂蛋白胆固醇与心血管风险呈负相关，被纳入总风险评估。除了计算绝对风险外，指南还包含一个相对风险表，这对于绝对风险较低但与同年龄组个体相比风险较高的年轻患者可能有用。
