Cuevas Ada, Arteaga Antonio, Rigotti Attilio
Departamento de Nutrición, Clínica Las Condes, Lo Fontecilla 441, Las Condes, Santiago, Chile,
Curr Atheroscler Rep. 2014 Apr;16(4):400. doi: 10.1007/s11883-014-0400-x.
Atherosclerotic heart disease and stroke are leading causes of disability and death worldwide, affecting not only developed countries, but also low- and middle-income regions. Different strategies for handling dyslipidemia as a critical pathogenic risk factor for atherosclerosis have been proposed. However, these recommendations are not applied at all in many countries or even in whole regions of the world. Recently, new US guidelines on risk assessment, lifestyle changes, and high blood cholesterol level treatment to manage atherosclerotic disease were released. In this article, we analyze these new guidelines and discuss their potential applications in preventive cardiovascular medicine in Latin America.
动脉粥样硬化性心脏病和中风是全球致残和死亡的主要原因,不仅影响发达国家,也影响低收入和中等收入地区。针对作为动脉粥样硬化关键致病危险因素的血脂异常,人们提出了不同的应对策略。然而,这些建议在世界上许多国家甚至整个地区根本未得到应用。最近,美国发布了关于动脉粥样硬化疾病风险评估、生活方式改变及高血胆固醇水平治疗的新指南。在本文中,我们分析这些新指南,并讨论它们在拉丁美洲预防性心血管医学中的潜在应用。