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Demystifying triglycerides: a practical approach for the clinician
Richard L Dunbar1, Daniel J Rader
1Cardiovascular Risk Intervention Program, University of Pennsylvania School of Medicine, Philadelphia, USA. richard.dunbar@uphs.upenn.edu
Insights
Managing very high triglyceride levels is crucial for preventing atherosclerosis. The National Cholesterol Education Program
Area of Science:
- Cardiology
- Metabolic Disorders
- Preventive Medicine
Background:
- Landmark statin trials excluded patients with very high triglycerides.
- Optimal hypertriglyceridemia management for atherosclerosis prevention remains unclear.
Purpose of the Study:
- To present a management strategy for patients with high triglyceride levels.
- To address the gap in evidence for managing severe hypertriglyceridemia.
Main Methods:
- Review of the best available evidence.
- Development of a clinical strategy by the Adult Treatment Panel (ATP) III.
Main Results:
- The ATP-III report offers a comprehensive strategy.
- Evidence-based recommendations for managing high triglycerides are provided.
Conclusions:
- The ATP-III guidelines provide a needed approach to hypertriglyceridemia management.
- This strategy aims to improve atherosclerosis prevention in high-risk patients.
Abstract:
Because the landmark trials of lipid-lowering statin drugs excluded patients with very high triglyceride levels, the optimal management of hypertriglyceridemia for atherosclerosis prevention is unknown. The third report of the National Cholesterol Education Program's Adult Treatment Panel (ATP-III) provides a much-needed strategy for managing patients with high triglycerides, based on the best available evidence.
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