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LDL-C: lower is better for longer-even at low risk.


ABSTRACT: BACKGROUND:Low-density lipoprotein cholesterol (LDL-C) causes atherosclerotic disease, as demonstrated in experimental and epidemiological cohorts, randomised controlled trials, and Mendelian randomisation studies. MAIN TEXT:There is considerable inconsistency between existing guidelines as to how to effectively manage patients at low overall risk of cardiovascular disease (CVD) who have persistently elevated levels of LDL-C. We propose a step-by-step practical approach for the management of cardiovascular risks in individuals with low (?140?mg/dL, 3.6?mmol/L) LDL-C. The strategy proposed is based on the level of adherence to lifestyle interventions (LSI), and in case of non-adherence, stepwise practical management, including lipid-lowering therapy, is recommended to achieve a target LDL-C levels (

SUBMITTER: Penson PE 

PROVIDER: S-EPMC7545575 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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LDL-C: lower is better for longer-even at low risk.

Penson Peter E PE   Pirro Matteo M   Banach Maciej M  

BMC medicine 20201008 1


<h4>Background</h4>Low-density lipoprotein cholesterol (LDL-C) causes atherosclerotic disease, as demonstrated in experimental and epidemiological cohorts, randomised controlled trials, and Mendelian randomisation studies.<h4>Main text</h4>There is considerable inconsistency between existing guidelines as to how to effectively manage patients at low overall risk of cardiovascular disease (CVD) who have persistently elevated levels of LDL-C. We propose a step-by-step practical approach for the ma  ...[more]

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