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Dyslipidaemia and cardiovascular risk - Key considerations in South Asians
Aneesha Chauhan1, Shaan Sahota2, Lavandan Jegatheeswaran3
1King's College Hospital NHS Foundation Trust, London, UK.
Insights
South Asians face double the risk of cardiovascular disease (CVD) due to unique risk factors like dyslipidemia. Culturally tailored interventions are crucial for managing CVD in this population.
Area of Science:
- Cardiology
- Public Health
- Genetics
Background:
- Cardiovascular disease (CVD) is the leading global cause of mortality.
- South Asians exhibit a two-fold higher risk of atherosclerotic CVD compared to White Caucasians.
- South Asians have a higher predisposition to atherogenic lipid profiles, a key modifiable CVD risk factor.
Purpose of the Study:
- To review cardiovascular risk factors in South Asian populations.
- To highlight ethnic-specific differences in CVD risk, presentation, and management.
- To emphasize the need for targeted research and interventions for South Asians.
Main Methods:
- This is a narrative review.
- The review synthesizes existing literature on CVD in South Asians.
- Key differences in risk factors, disease presentation, and treatment strategies are examined.
Main Results:
- South Asians experience a disproportionately higher burden of CVD, particularly coronary heart disease and myocardial infarction.
- Dyslipidemia is a significant and prevalent risk factor in this demographic.
- Understanding ethnic-specific nuances is critical for effective CVD prevention and management.
Conclusions:
- Effective dyslipidemia management requires culturally tailored strategies for South Asian populations.
- Targeted research is essential to address the elevated CVD risk in South Asians.
- Reducing the CVD burden in South Asians necessitates a focus on ethnic-specific risk factors and interventions.
Abstract:
Cardiovascular disease remains the leading global cause of mortality. It disproportionately affects South Asians, who face an approximately two-fold higher risk of atherosclerotic cardiovascular disease (CVD), with a particularly pronounced excess risk of coronary heart disease and myocardial infarction, when compared to White Caucasians. Dyslipidaemia is a major modifiable CVD risk factor, with South Asians being predisposed to more atherogenic lipid profiles. Understanding cardiovascular risk in South Asian populations requires recognising key differences in risk factors, disease presentation and treatment strategies compared with other ethnic groups. This narrative review highlights the need for targeted research and culturally tailored interventions to optimise dyslipidaemia management and reduce the disproportionate burden of CVD in South Asians.
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