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Published on: November 10, 2017
[Guidelines-oriented diagnostics of dyslipidemia]
1Institut für Laboratoriumsmedizin, Klinische Chemie und Molekulare Diagnostik, Universitätsklinikum Leipzig, Liebigstr. 27, 04103, Leipzig, Deutschland. Thorsten.Kaiser@medizin.uni-leipzig.de
Insights
This article outlines diagnosing dyslipidemia in older adults, focusing on cardiovascular disease risk. It details risk assessment, LDL-C goal setting, and novel biomarkers for better patient management.
Area of Science:
- Cardiology
- Endocrinology
- Clinical Diagnostics
Context:
- Cardiovascular diseases (CVDs) are a leading cause of mortality in the elderly.
- Altered lipid metabolism is a significant risk factor for CVDs.
- Dyslipidemia is prevalent in aging populations.
Purpose:
- To present a guideline-based approach for diagnosing dyslipidemia in elderly patients.
- To define individualized low-density lipoprotein cholesterol (LDL-C) goals based on overall cardiovascular risk.
- To incorporate additional cardiovascular risk factors beyond traditional charts and discuss innovative biomarkers.
Summary:
- The diagnostic approach begins with evaluating overall cardiovascular mortality risk using current charts.
- Individualized LDL-C targets are established based on this risk assessment.
- The article explores supplementary risk factors and novel biomarkers for enhanced diagnostic value.
Impact:
- Improved diagnostic strategies for dyslipidemia in older adults.
- Personalized treatment goals to mitigate cardiovascular mortality.
- Integration of advanced biomarkers into clinical practice for more accurate risk stratification.
Abstract:
Cardiovascular diseases are the main cause of mortality for patients with advanced age. Changes in lipid metabolism are common and play an important role as key risk factors. This article explains an approach in the diagnostics of dyslipidemia according to the current guidelines. First, the overall risk evaluation of cardiovascular mortality based on the current chart has to be evaluated. Depending on these results an individual LDL-C goal should be defined. The article also includes other relevant cardiovascular risk factors which were not included in the established risk charts. Furthermore, the main innovative biomarkers are discussed in their possible applications and diagnostic value.
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