Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices

Dyslipidemia is a fundamental risk factor for cardiovascular diseases (CVDs) and can worsen the prognosis, if unaddressed. Lipid guidelines are still evolving as dyslipidemia is affecting newer patient subsets. However, these guidelines are governed by regional demographics and ethnic data. Primary...

Full description

Saved in:
Bibliographic Details
Main Authors: Thongtang, Nuntakorn, Sukmawan, Renan, Llanes, Elmer Jasper B., Lee, Zhen-Vin
Format: Article
Published: Elsevier 2022
Subjects:
Online Access:http://eprints.um.edu.my/42198/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.42198
record_format eprints
spelling my.um.eprints.421982023-10-16T02:27:07Z http://eprints.um.edu.my/42198/ Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices Thongtang, Nuntakorn Sukmawan, Renan Llanes, Elmer Jasper B. Lee, Zhen-Vin R Medicine (General) Dyslipidemia is a fundamental risk factor for cardiovascular diseases (CVDs) and can worsen the prognosis, if unaddressed. Lipid guidelines are still evolving as dyslipidemia is affecting newer patient subsets. However, these guidelines are governed by regional demographics and ethnic data. Primary care practitioners (PCPs) are the first to offer treatment, and hence placed early in the healthcare continuum. PCPs shoulder a huge responsibility in early detection of dyslipidemia for primary prevention of future cardiovascular (CV) events. Therefore, as members of Cardiovascular RISk Prevention (CRISP) in Asia network, the authors intend to align and shape-up the daily clinical practice workflow for PCPs and have a goal-directed strategy for managing dyslipidemia. This paper reviews the major international lipid guidelines, namely the American and European guidelines, and the regional guidelines from Indonesia, Malaysia, Philippines, Thailand, and Vietnam to identify their commonalities and heterogeneities. The authors, with a mutual consensus, have put forth, best in-clinic practices for screening, risk assessment, diagnosis, treatment, and management of dyslipidemia, particularly to reduce the overall risk of CV events, especially in the Asian context. The authors feel that PCPs should be encouraged to work in congruence with patients to decide on best possible therapy, which would be a holistic approach, rather than pursuing a ``one-size-fits-all'' approach. Since dyslipidemia is a dynamic field, accumulation of high-quality evidence and cross-validation studies in the future are warranted to develop best in-clinic practices at a global level. Elsevier 2022-06 Article PeerReviewed Thongtang, Nuntakorn and Sukmawan, Renan and Llanes, Elmer Jasper B. and Lee, Zhen-Vin (2022) Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices. Preventive Medicine Reports, 27. ISSN 2211-3355, DOI https://doi.org/10.1016/j.pmedr.2022.101819 <https://doi.org/10.1016/j.pmedr.2022.101819>. 10.1016/j.pmedr.2022.101819
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
spellingShingle R Medicine (General)
Thongtang, Nuntakorn
Sukmawan, Renan
Llanes, Elmer Jasper B.
Lee, Zhen-Vin
Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
description Dyslipidemia is a fundamental risk factor for cardiovascular diseases (CVDs) and can worsen the prognosis, if unaddressed. Lipid guidelines are still evolving as dyslipidemia is affecting newer patient subsets. However, these guidelines are governed by regional demographics and ethnic data. Primary care practitioners (PCPs) are the first to offer treatment, and hence placed early in the healthcare continuum. PCPs shoulder a huge responsibility in early detection of dyslipidemia for primary prevention of future cardiovascular (CV) events. Therefore, as members of Cardiovascular RISk Prevention (CRISP) in Asia network, the authors intend to align and shape-up the daily clinical practice workflow for PCPs and have a goal-directed strategy for managing dyslipidemia. This paper reviews the major international lipid guidelines, namely the American and European guidelines, and the regional guidelines from Indonesia, Malaysia, Philippines, Thailand, and Vietnam to identify their commonalities and heterogeneities. The authors, with a mutual consensus, have put forth, best in-clinic practices for screening, risk assessment, diagnosis, treatment, and management of dyslipidemia, particularly to reduce the overall risk of CV events, especially in the Asian context. The authors feel that PCPs should be encouraged to work in congruence with patients to decide on best possible therapy, which would be a holistic approach, rather than pursuing a ``one-size-fits-all'' approach. Since dyslipidemia is a dynamic field, accumulation of high-quality evidence and cross-validation studies in the future are warranted to develop best in-clinic practices at a global level.
format Article
author Thongtang, Nuntakorn
Sukmawan, Renan
Llanes, Elmer Jasper B.
Lee, Zhen-Vin
author_facet Thongtang, Nuntakorn
Sukmawan, Renan
Llanes, Elmer Jasper B.
Lee, Zhen-Vin
author_sort Thongtang, Nuntakorn
title Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
title_short Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
title_full Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
title_fullStr Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
title_full_unstemmed Dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
title_sort dyslipidemia management for primary prevention of cardiovascular events: best in-clinic practices
publisher Elsevier
publishDate 2022
url http://eprints.um.edu.my/42198/
_version_ 1781704609148960768
score 13.211869