相关实验视频
Updated: Jun 29, 2025

08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.2K
慢性病患者的失脂血症 - 一个被忽视的心血管风险因素
概括
在南非,大多数患有慢性病 (CKD) 的患者患有脱脂症,这是一种影响脂质水平的疾病. 降脂疗法 (LLT) 未得到充分利用,很少有患者达到推的低密度脂蛋白胆固醇 (LDL-C) 目标.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
背景情况:
- 动脉样性心血管疾病 (ASCVD) 是慢性病 (CKD) 患者的主要死亡原因.
- 慢性脏病被认为是冠状动脉疾病的等价物,因为它具有动脉动脉产物质.
- 关于南非 (SA) CKD患者的降脂疗法 (LLT) 疗效的数据有限.
研究的目的:
- 为了调查SA CKD患者中脱脂症的患病率.
- 评估血脂水平的控制和在这个人群中使用LLT.
主要方法:
- 在约翰内斯堡的夏洛特·马克西克学术医院对250名CKD患者进行了回顾性,横截面研究.
- 分析脂质图,LLT的使用,以及达到目标脂质水平.
- 从2019年7月到2020年7月收集的数据.
主要成果:
- 脱脂血症的发病率很高 (83.6%).
- 只有16.6%的LLT患者达到目标低密度脂蛋白胆固醇 (LDL-C) 水平.
- 相当数量的符合资格接受LLT的患者没有接受LLT,尽管ASCVD风险很高.
结论:
- 这个队列中的大量CKD患者具有高ASCVD风险.
- 目前的LLT使用不足,目标LDL-C的实现率很低.
- 提高对LLT的认识和启动对于管理CKD患者的脂质水平至关重要.
相关概念视频
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
659
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...
659
Overview of Lipid Metabolism
1.5K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
1.5K
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91
Lipids: Dietary Sources and Requirements
731
Lipids are an essential component of a balanced human diet. Triglycerides, which make up the majority of dietary lipids, are found in both saturated fats—commonly present in meat, dairy products, and certain tropical plants like coconut, and hydrogenated oils such as margarine and baking shortenings (trans fats)—and unsaturated fats, which are abundant in seeds, nuts, olive oil, and most vegetable oils. The main sources of cholesterol include egg yolks, various meats and organ...
731
Cholesterol: Significance and Regulation
543
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
543
Heart Failure Drugs: Diuretics
370
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
370

