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Manejo de la dislipidemia en la prevención del ictus: Un enfoque individualizado
Maria-Ioanna Stefanou1,2, Evangelos Panagiotopoulos1, Evangelos Liberopoulos3
1Second Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Resumen
El manejo de la dislipidemia para el ictus está cambiando el enfoque a la apolipoproteína B y la lipoproteína(a). Adaptar las estrategias de reducción de lípidos por tipo de ictus, no solo por LDL-C, mejora los resultados.
Sus antecedentes:
- La dislipidemia es un factor de riesgo clave de ictus, con apolipoproteína B (ApoB) y lipoproteína(a) [Lp(a)] que ofrecen una mejor evaluación del riesgo que el LDL-C solo.
- El manejo actual de lípidos en ictus a menudo utiliza objetivos uniformes, descuidando la etiología del ictus y las necesidades específicas del subtipo.
Conclusiones:
- El manejo individualizado de lípidos guiado por fenotipo y adaptado a la etiología del ictus es crucial para optimizar los resultados.
- Ir más allá de los objetivos de lípidos uniformes hacia estrategias informadas por la etiología y la genética puede refinar la prevención del ictus y mejorar la atención al paciente.
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