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Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
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Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
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Updated: May 7, 2026

Assessing Whole-Body Lipid-Handling Capacity in Mice
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Published on: November 24, 2020

Demystifying the management of hypertriglyceridaemia.

Gerald F Watts1, Esther M M Ooi, Dick C Chan

  • 1Lipid Disorders Clinic and Metabolic Research Centre, Royal Perth Hospital, School of Medicine and Pharmacology, University of Western Australia, PO Box X2213, Perth, WA 6847, Australia.

Nature Reviews. Cardiology
|September 25, 2013
PubMed
Summary

Hypertriglyceridaemia, a common risk factor for cardiovascular disease, stems from genetic and lifestyle factors. Management includes lifestyle changes, statins, fibrates, and n-3 fatty acids, with emerging therapies for severe cases.

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Area of Science:

  • Cardiovascular Medicine
  • Metabolic Disorders
  • Genetics

Background:

  • Hypertriglyceridaemia is a prevalent risk factor for atherosclerotic cardiovascular disease (CVD).
  • It is associated with metabolic complications like obesity, insulin resistance, and diabetes mellitus.
  • Elevated triglycerides reflect an accumulation of proatherogenic lipoproteins, including triglyceride-rich lipoprotein (TRL) remnants.

Purpose of the Study:

  • To review the causes, consequences, and management of hypertriglyceridaemia.
  • To discuss the role of TRLs in the pathogenesis of atherosclerotic CVD.
  • To explore current and emerging therapeutic strategies for hypertriglyceridaemia.

Main Methods:

  • Review of existing literature on hypertriglyceridaemia, TRL metabolism, and CVD.
  • Analysis of data from Mendelian randomization studies and clinical trials.
  • Discussion of genetic dyslipidaemias and their implications.

Main Results:

  • TRLs are causally linked to atherosclerotic CVD.
  • Extreme hypertriglyceridaemia (>20 mmol/l) is rare, often genetic, and can cause pancreatitis.
  • Statins, fibrates, and n-3 fatty acids are key treatments, alongside lifestyle modification.

Conclusions:

  • Effective management of hypertriglyceridaemia involves addressing secondary factors and lifestyle.
  • Pharmacotherapy is crucial for high-risk individuals.
  • Novel therapies targeting TRL metabolism show promise for future treatment.