Won Hoyoun, Bae Jae Hyun, Lim Hyunjung, Kang Minji, Kim Minjoo, Lee Sang-Hak
Cardiovascular-Arrhythmia Center, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
J Lipid Atheroscler. 2024 Sep;13(3):215-231. doi: 10.12997/jla.2024.13.3.215. Epub 2024 Sep 4.
Elevated blood cholesterol and triglyceride levels induced by secondary causes are frequently observed. The identification and appropriate handling of these causes are essential for secondary dyslipidemia treatment. Major secondary causes of hypercholesterolemia and hypertriglyceridemia include an unhealthy diet, diseases and metabolic conditions affecting lipid levels, and therapeutic side effects. It is imperative to correct secondary causes prior to initiating conventional lipid-lowering therapy. Guideline-based lipid therapy can then be administered based on the subsequent lipid levels.
继发性原因导致的血液胆固醇和甘油三酯水平升高很常见。识别并妥善处理这些原因对于继发性血脂异常的治疗至关重要。高胆固醇血症和高甘油三酯血症的主要继发性原因包括不健康饮食、影响血脂水平的疾病和代谢状况以及治疗副作用。在开始常规降脂治疗之前,必须纠正继发性原因。然后可根据后续血脂水平进行基于指南的降脂治疗。