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2.1
Dyslipidemia
Dyslipidaemia

Images

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WIKIDATA, CC0 1.0

Presentation

Taylor presented some calculations she did based on 2018 AHA Health and Stroke Statistics. [healio.com]

Additionally, another three SNPs rs633389, rs2187126 and rs1263163 are found risk conferring to dyslipidemia by elevating LDLC and TC levels in the present population. [ncbi.nlm.nih.gov]

[…] at ESC Congress 2019 Relive the presentation as it was live. [escardio.org]

The views expressed in this recording are those of the individual presenter and do not necessarily reflect the views of PACE-cme. PACE-cme did not receive financial support for the production of this recording. [pace-cme.org]

Entire Body System

  • Coronary Atherosclerosis

    atherosclerosis. remnant hyperlipidemia a form in which the accumulated lipoproteins are normally transient intermediates, chylomicron remnants, and intermediate-density lipoproteins; a generic descriptor for the type III hyperlipoproteinemia phenotype [medical-dictionary.thefreedictionary.com]

    So too is evidence of subclinical atherosclerosis, such as coronary calcification on computed tomographic (CT) scanning and carotid intima medial thickening on ultrasound. [ncbi.nlm.nih.gov]

  • Renal Artery Stenosis

    Atherosclerotic renal artery stenosis and hypertension: Pragmatism, pitfalls, and perspectives. American Journal of Medicine. 2016;129(6):635.e5-635.e14 151. Tafur JD, White CJ. Renal artery stenosis: When to revascularize in 2017. [intechopen.com]

  • Burkina Faso

    Features of metabolic syndrome and its associated factors during highly active antiretroviral therapy in Ouagadougou (Burkina Faso). [frontiersin.org]

Musculoskeletal

  • Arthralgia

    Joint involvement (arthralgias/arthritis), swollen lymph nodes, skin lesions, and headaches are also observed. Attacks usually last 3-7 days and recur every 2-8 weeks but can vary between patients. [orpha.net]

    Showing of 38 | Medical Terms Other Names Learn More: HPO ID 80%-99% of people have these symptoms Abdominal pain Pain in stomach Stomach pain [ more ] 0002027 Arthralgia Joint pain 0002829 Elevated erythrocyte sedimentation rate High ESR 0003565 Gastrointestinal [rarediseases.info.nih.gov]

Skin

  • Xanthoma

    C, Achilles tendon xanthomas. Notice the marked thickening of the tendons. D, Tendon xanthomas. E, Tuberous xanthomas. F, Palmar xanthomas. G, Eruptive xanthomas. [utmb.edu]

    In untreated dysbetalipoproteinemia, findings include (E) palmar crease xanthomas and (F) tuberous xanthomas (here on elbow). In severe hypertriglyceridemia, manifestations can include (G) eruptive xanthomata and (H) lipemia retinalis. [pubmed.ncbi.nlm.nih.gov]

    Eruptive xanthomas : yellow papules with an erythematous border ; located on the buttocks, back, and the extensor surfaces of the extremities Tendinous xanthomas : firm nodules, located in tendons (typically extensor tendons of hands and the Achilles [amboss.com]

    Case 3 An 11-year-old girl presented with palmar xanthomas ( figure 1 ) and tubero-eruptive xanthomas of both elbows. Based on these clinical signs, she was diagnosed with type III HLP. [ncbi.nlm.nih.gov]

Neurologic

  • Slow Speech

    Signs may include a typical facial appearance, hoarse slow speech, and dry skin. Diagnosis... read more, chronic kidney disease Chronic Kidney Disease Chronic kidney disease (CKD) is long-standing, progressive deterioration of renal function. [msdmanuals.com]

Workup

150–199 High: > 200 Very high: ≥ 500 LDL < 100 Near optimal: 100–129 Borderline high: > 130 High: > 160 Very high: ≥ 190 HDL ≥ 60 Low: < 40 LDL/HDL ratio : the ratio of LDL and HDL levels serves as a control measure of cholesterol metabolism Further workup [amboss.com]

Stable angina is the initial clinical manifestation of nearly half of all patients with CAD, and given the high rates of myocardial infarction in patients with stable angina, extensive guidelines on workup and management, including stress testing, coronary [intechopen.com]

Urine

  • Acanthocytes

    In abetalipoproteinemia, findings include (K) acanthocytes (indicated by arrows) on peripheral blood film and (J) atypical retinitis pigmentosa. Figure 3. Approach to the patient with high LDL-C. Figure 4. Approach to the patient with high TG. [pubmed.ncbi.nlm.nih.gov]

Treatment

Pharmacologic Treatment (elevated LDL-C level): When indicated (see Figure 1), pharmacologic treatment can dramatically improve lipid levels. Statins are preferred for initial pharmacologic treatment for children 8 years of age and older. [cancertherapyadvisor.com]

Treatment should always include treatment of hypertension Treatment Hypertension is sustained elevation of resting systolic blood pressure (≥ 130 mm Hg), diastolic blood pressure (≥ 80 mm Hg), or both. [msdmanuals.com]

Sometimes these changes are enough to get blood cholesterol numbers back into their normal ranges, and no other treatment is necessary. [mdmercy.com]

Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). [nature.com]

Team-based treatment planning that includes a weekly lipid clinic meeting, where our specialists discuss treatments for people with complex cases. [stanfordhealthcare.org]

Prognosis

OBJECTIVE: To identify the changes caused by dyslipidemia and obesity in pregnancy suggesting causes for premature birth, and the prognosis for the newborn. [ncbi.nlm.nih.gov]

Prognosis The outlook for individuals with dysautonomia depends on the particular diagnostic category. [ninds.nih.gov]

What is the prognosis for dysautonomia? The outlook for individuals with dysautonomia depends on the particular diagnostic category. [my.clevelandclinic.org]

Prognosis HIDS has a good prognosis. Life expectancy is not shortened except for in rare cases where severe infections or renal amyloidosis occur. The documents contained in this web site are presented for information purposes only. [orpha.net]

Etiology

Etiology: The prevalence of dyslipidemia in children age 12-19 was reported as approximately 20.3% in the CDC Morbidity and Mortality Weekly Report. [utmb.edu]

The genes associated with increased HDL-C of genetic etiology are CETP, LIPC, PLTP and SCARB1. [ncbi.nlm.nih.gov]

Etiology Classification Fredrickson phenotype I IIa IIb III IV Condition Familial hyperchylomicronemia [6] Familial hypercholesterolemia [7] Familial combined hyperlipidemia [8] Familial dysbetalipoproteinemia [9] Familial hypertriglyceridemia [10] Frequency [amboss.com]

Etiology HIDS is an autosomal recessively inherited syndrome caused by mutations in the mevalonate kinase (MVK) gene. Due to this mutation HIDS patients have MVK enzymes with reduced, but not abolished activity. [orpha.net]

[…] risk of premature vascular disease.1,2 In addition, dyslipidemia is highly prevalent in children with nonalcoholic fatty liver disease and may play a role in its pathophysiology.3 Clinical dyslipoproteinemias Most dyslipidemias are multifactorial in etiology [unboundmedicine.com]

Epidemiology

Long-term, prospective epidemiologic studies have consistently shown that persons with healthier lifestyles and fewer risk factors for coronary heart disease, and particularly those with favorable lipid profiles, have reduced incidence of coronary heart [ncbi.nlm.nih.gov]

Phase Complications in Hypertension and Obesity The study in aimed to investigate epidemiology of risk factors in Russian Federation its prognostic value aimed on acceptance of national specific definition of metabolic syndrome and guidelines for its [centerwatch.com]

Pathophysiology

PATHOPHYSIOLOGY Cholesterol, triglycerides, and phospholipids are transported in blood as complexes of lipids and proteins (lipoproteins). [accesspharmacy.mhmedical.com]

We start by reviewing some basic pathophysiology. Then, we discuss the evidence-based medications utilized for controlling patients' lipid panels as well as the long-term prevention of cardiovascular events. [corconsultrxpodcast.libsyn.com]

The pathophysiology that differentiates stable angina from ACS is acute plaque rupture or erosion that results in the acute worsening of coronary artery flow, with subsequent symptomatic, electrocardiographic, and biochemical clinical findings ranging [intechopen.com]

In that respect, our cohort allows perhaps the best possible model of this pathophysiologic complication of CKD in humans, making our findings generalizable to other populations with CKD.” – by Melissa J. [healio.com]

Clinical features Typically no specific signs or symptoms Skin manifestations Xanthoma : nodular lipid deposits in the skin and tendons Pathophysiology: Extremely high levels of triglycerides and/or LDL result in extravasation of plasma lipoproteins [amboss.com]

Prevention

A 3-month trial of dietary changes is recommended in primary prevention before considering medication, but in secondary prevention and in individuals at high-risk, cholesterol-lowering medication is used in conjunction with diet modifications.[13] Recommended [en.wikipedia.org]

Author information 1 NYU School of Medicine, NYU Center for Prevention of Cardiovascular Disease, Bellevue Hospital Lipid Clinic, National Lipid Association, New York, NY. 2 Johns Hopkins School of Medicine, Ciccarone Center for the Prevention of Heart [ncbi.nlm.nih.gov]

Session Title: Prevention: Risk Assessment in Primary Prevention Abstract Category: 24. Prevention: Clinical Presentation Number: 1232M-8 2013 American College of Cardiology Foundation [onlinejacc.org]

Abstract Individuals with mixed atherogenic dyslipidemia, type 2 diabetes mellitus (T2DM), and metabolic syndrome are at high risk of developing cardiovascular disease (CVD) and can often benefit greatly from preventive lifestyle and medical interventions [liebertpub.com]

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