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  • dyslipidemia guidelines slideshare2020/09/28

    All experts involved in the development of these guidelines have submitted declarations of interest. 4 Although the relative risk has decreased with effective ART, there is a large and rising . Hyperlipidemia is a condition that incorporates various genetic and acquired disorders that describe elevated lipid levels within the human body. Dyslipidemia: A disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency. It may cause severa Continue reading >>. Dyslipidemia is defined as having blood lipid levels that are too high or low. Guidelines for Preventing Health-Care-Associated Pneumonia, 2003 CDC and the Healthcare Infection Control Practices Advisory Committee developed these recommendations. It may cause severa Continue reading >>. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. 2015a and b) •Dietary recommendations include: •Choose unsaturated fats over saturated and trans fats 2008 Guidelines for the Diagnosis and Management of Dyslipidemias for Adults > 18 Years Old - February 2008 - Page 2 Treatment Overview of Dyslipidemia Dyslipidemia is a powerful risk factor for coronary heart disease (CHD). DYSLIPIDEMIA. - a complex disease caused by the interplay of genetic, dietary and physiologic factors - ldl ≥ 130mg/dl … Denise Reedus , N.P. Briefly, obesity is accompanied by an overproduction of VLDL by the liver due to the high flux of nonesterified fatty . Among the five new ESC guidelines presented at this year's ESC congress, was the 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD. Additional accents in diabetic subjects are necessary. 3- Treatment strategies. Isolated systolic hypertension. The worldwide prevalence of DM is predicted to grow to 430 million patients by 2030 [ 2 ]. Dyslipidemia: TG > 2.0€mmol/L and/or HDL-C < 1.0€mmol/L or treated for dyslipidemia 3. 7- Dyslipidaemia in special population. Th … The 2018 guideline narrows the use of . The SlideShare family just got bigger. Most clinical guidelines recommend tight control of dyslipidemia, especially in high risk patients [106, 107]. George Grunberger, MD, FACP, FACE. Hyperlipidemia is extremely common, especially in the Western hemisphere, but also throughout the world. GLP1-RA- Prescribing •Liraglutide SQ •0.6mg daily for 2 weeks => 1.2mg daily automatically; 1.8mg if needed •Small pen needle, 32 gauge 4mm Diet and Exercise in the Management of Hyperlipidemia. Importantly, lipid targets are easier to achieve than blood pressure or glycemia targets and target LDL cholesterol levels as low as 1.8 mmol/L are increasingly recommended in patients with established CHD [108, 109]. Healthcare-Associated Pneumonia. lincoln surgical presentation . The characteristic features of diabetic dyslipidemia are a high plasma triglyceride concentration, low HDL cholesterol concentration and increased concentration of small dense LDL-cholesterol particles. 2- Assess total CVD risk. Since 1990, the American Heart Association (AHA)/American Stroke Association (ASA)* have translated scientific evidence into clinical practice guidelines with recommendations to improve cerebrovascular health. Hyperlipidemia is a condition that incorporates various genetic and acquired disorders that describe elevated lipid levels within the human body. Vitamin D may have an influence on these two CVD risk markers. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Grade 2 >160 and <90. Hypolipidemic drugs are a class of drugs that lower the concentrations of lipoproteins, the agents that transport cholesterol and triglycerides in blood. Focuses on the consideration of statin therapy and lipid-lowering effects (if any) in patients with certain endocrine disorders. Piedmont Heart Institute. With contemporary antiretroviral therapy (ART), people living with HIV (PLWH) are living longer 1 and experiencing a rising burden of cardiovascular diseases (CVDs). For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see https:// Hypertension: blood pressure > 140/90 mmHg or antihypertensive medication 4. Grade 1 140 - 159 and <90. 3) Xanthelasmas - fatty deposits in the eyelids. Yehuda Handelsman MD, FACP, FACE, FNLA. The 2020 guideline on lipid management in patients with endocrine disorders: Emphasizes assessing lipid profiles in patients with endocrine diseases to reduce the risk of ASCVD. Clinical trials conclusively have demonstrated that treatment of lipid disorders can reduce CHD morbidity and mortality. These have been compiled in a report and published in a sup 6- Choice of treatment. Lipids, such as cholesterol or triglycerides, are absorbed from the intestines and are carried throughout the body via lipoproteins for energy, steroid production, or bile acid formation. Indian guidelines on hypertension-IV (2019) accounted for 17.9% and 34.6% of population . Alternatively, a more objective definition describes hyperlipidemia as low-density lipoprotein (LDL), total cholesterol, triglyceride levels, or . Metabolic syndrome (MetS) represents a cluster of metabolic abnormalities that include hypertension, central obesity, insulin resistance, and atherogenic dyslipidemia, and is strongly associated with an increased risk for developing diabetes and atherosclerotic and nonatherosclerotic cardiovascular disease (CVD). Food drug interaction Aiswarya Thomas. The evaluation and treatment of dyslipidemias in diabetic subjects should be performed similarly to non-diabetics according to the guidelines published recently by the Working Group 'Lipids' of the Swiss Foundation of Cardiology. Topic (s): Coronary Artery Disease (Chronic) Cardiovascular Disease in Primary Care 2 table of contents section page first-line therapy (non-pharmacologic) 3 metformin (first line pharmacologic therapy) 4 t2dm with ascvd predominating 6 t2dm with hf or ckd predominating 9 compelling need for weight loss 12 patient cost is a major concern 14 metformin intolerant patients 15 medication class information 18 In fact, hyperlipidemia may be a clue to the presence of an underlying systemic disorder. The worldwide prevalence of DM is predicted to grow to 430 million patients by 2030 [ 2 ]. Zachary T. Bloomgarden, MD, MACE. 4. dyslipidemia - (aka hyperlipidemia, aka hypercholesterolemia) is a disorder of elevated or abnormal levels of lipids and/or lipoproteins in the blood, characterized by high cholesterol, triglycerides (tgs) or both, or low hdl levels. New ESC/EASD Guidelines on diabetes no longer regard metformin as first-line therapy. Dyslipidemia 'from guidelines to practice' prof.alaa wafaa alaa wafa. Dyslipidemia is one of the major risk factors for cardiovascular disease in diabetes mellitus. 5- Treatment targets. Data from cardiovascular outcome trials have highlighted that these drugs confer . 2,3 Relative risks of various CVD manifestations are generally 1.5- to 2-fold greater for PLWH compared with uninfected individuals. Description: See Also: Guideline Hub | Hypertrophic Cardiomyopathy. A soft waxy substance found among lipids (fats) in the bloodstream and all cells Needed for digesting fats, making hormones, building cell walls. The pathophysiology of dyslipidemia (i.e., low HDL-C phenotype and elevated plasma TG levels) in obesity is close to that previously described in diabetic subjects. The guideline is intended to improve patient outcomes and local management of patients with hypertension.. Disclaimer:This Clinical Practice Guideline is intended for use only as a tool to assist a clinician/healthcare professional and should not be used to replace clinical judgment. Diabetic Dyslipidemia Atherosclerosis in Diabetes ~80% of all diabetic mortality 75% from coronary atherosclerosis 25% from cerebral or peripheral vascular disease . Patients were generally well-optimized on guideline-directed medical therapy for HF prior to enrollment, and those with T2DM had good glucose control, with a mean HbA1c of 7.4. However, dyslipidemia is the most readily measured and, at the present time, the most readily treated aspect of the problem. Since the publication of the previous version in 2013, a lot . in august 2019, the european society of cardiology (esc) and european atherosclerosis society (eas) released updates to their 2016 guidelines for the management of dyslipidemia. Dyslipidemia and vascular calcification are important predictors of cardiovascular disease (CVD). A soft waxy substance found among lipids (fats) in the bloodstream and all cells Needed for digesting fats, making hormones, building cell walls. Stage 3 ≥ 180 or >110. Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical C… They are most commonly found on the knuckles and the Achilles tendons. The lipid profile in patients with type 2 DM is characterized by elevated triglycerides, low levels of high-density … These summary . Hyperlipidemia is extremely common, especially in the Western hemisphere, but also throughout the world. The Image and Slide Gallery captures images, videos, or slides which can serve as useful teaching materials in the field of CV medicine. It may greatly heighten the risk of atherosclerosis with a raised LDL-c, triglyceride-rich lipoprotein excess, and increased lipoprotein(a) as well … Piedmont Heart Institute. Heart Disease in Pregnancy 2016 (2nd Edition) Malaysia, with a crude birth rate of 16.9 per 1000 population and an annual population growth rate of 1.3%, has also seen a significant growth in attendances at the Ministry of Health's antenatal clinics - from 5.7 million in 2013 to 6.1 million in 2014. Diabetic retinopathy (DR), a diabetic microangiopathy, is characterized by microaneurysms (MAs), capillary nonperfusion, and ischemia within the retina [ 3 6 ]. Date: November 20, 2020 Clinical Topics: Arrhythmias and Clinical EP, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Sports and Exercise Cardiology, Implantable Devices, Genetic Arrhythmic Conditions, SCD/Ventricular Arrhythmias, Atrial . 3. this clinical practice guideline (cpg) is for the diagnosis and treatment of dyslipidemia and prevention of atherosclerosis the mandate for this cpg is to provide a practical guide to reduce the risks and consequences of dyslipidemia they emphasize the importance of treating low-density lipoprotein cholesterol (ldl-c) in some individuals to … Download. Dyslipidemia is elevation of plasma cholesterol, triglycerides (TGs), or both, or a low high-density lipoprotein cholesterol level that contributes to the development of atherosclerosis Atherosclerosis Atherosclerosis is characterized by patchy intimal plaques (atheromas) that encroach on the lumen of medium-sized and large arteries; the plaques contain lipids, inflammatory cells, smooth muscle. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. These guidelines has been developed for healthcare professionals to facilitate informed communication with individuals about their CV risk and the benefits of adopting and sustaining a healthy lifestyle, and of early modification of their lipid-related CV risk. • Three primary abnormality are there Elevated triglyceride (TG) Elevated LDL cholestrol Reduced HDL cholestrol • It is most important modifiable risk factor for CAD. Chart and Diagram Slides for PowerPoint - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Many of them are also animated. CHOLESTEROL • A soft waxy substance found among . Preamble. Slides: LDL-c targets in the ESC/EAS dyslipidaemia guidelines in a nutshell Slides (presentation) - Sep. 9, 2019 - ESC Paris, France - Prof. Brian A. Ference, M.D, University of Cambridge, United Kingdom - CME symposium held during ESC 2019 Slides as educational service to PACE members and meeting participants Statins (e.g., atorvastatin; cerivastatin; fluvastatin . In this chapter, the effect of regular exercise on the prevention of diabetes and short-term glucose and energy metabolism will be discussed. Major contributors to these pathways are cholesterol, low-density lipoprotein cholesterol (LDL-C), triglycerides, and high-density lipoprotein (HDL). Alternatively, a more objective definition descri … - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 625b2d-OWVmN Guidelines for management of dyslipidemia Utai Sukviwatsirikul Agent used in hyperlipidemia Sirinoot Jantharangkul Project Design & Proposal Guidance Training 4 Managers Muinami Kaberi Lisot 420s 2011 plans as of 3.1.11 Michael Rudnick N20160601 al 07 Rsm San Martín Project booklet 09 july2014 Harsh Kumar NHHC chapter 19 outline KellyGCDET. •2013 AHA/ACC Guideline of Lifestyle Management to Reduce Cardiovascular Risk (Eckel et al. DM is now recognized as a risk equivalent for coronary heart disease. There is however evidence . (Click to read more) Secondary causes of hyperlipidemia are important to recognize. Management of dyslipidaemia ESC 2016 1- Lipid profiling. Visual and Anatomic Outcomes from Diabetic Macular Edema (DME) Studies of Intravitreal Aflibercept Injection (IAI): Effect of Baseline Hemoglobin A1c (HbA1c) Quartiles on Treatment Outcomes. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Secondary dyslipidemia 4. In addition, the effect of exercise on most common complications of type 2 diabetes including cardiovascular diseases, dyslipidemia, nephropathy, neuropathy, and retinopathy will be reviewed. Introduction • Dyslipidemia is a disorder of Lipid & lipoprotein metabolism. 2013) •National Lipid Association Recommendations for Patient-Centered Management of Dyslipidemia -- Parts 1 & 2 (Jacobson et al. Fasting plasma glucose > 6.1€mmol/L NCEP The US National Cholesterol Education Program Adult Treatment Panel III (2001) requires at least three of the following: 1. Elise F. Villard, Maryse Guerin, in The HDL Handbook (Second Edition), 2014 3.4.1 Obesity and HDL Metabolism. CHOLESTEROL • A soft waxy substance found among . Dyslipidemia is defined as having blood lipid levels that are too high or low. Lipid Management Guideline. Dyslipidemias may be manifested by elevation of the total cholesterol, the "bad" low-density lipoprotein (LDL) cholesterol and the triglyceride concentrations, and a decrease in the "good" high-density lipoprotein cholesterol concentration in the blood. They are all artistically enhanced with visually stunning color, shadow and lighting effects. Diabetic retinopathy (DR), a diabetic microangiopathy, is characterized by microaneurysms (MAs), capillary nonperfusion, and ischemia within the retina [ 3 6 ]. The pathophysiology of dyslipidemia (i.e., low HDL-C phenotype and elevated plasma TG levels) in obesity is close to that previously described in diabetic subjects. CHOLESTEROL. [ 1, 2] among the. Of the patients enrolled, 50% had T2DM, 34% had pre-diabetes with a glycosylated hemoglobin (HbA1c) of 5.7-6.4, and 15% of patients had a normal HbA1c of <5.7. European guideline: Treatment of dyslipidemias with statins is recommended for older persons, according to the risk level, in those age ≤75 years. They are all artistically enhanced with visually stunning color, shadow and lighting effects. These guidelines, which are based on systematic methods to evaluate and classify evidence, provide a foundation for the delivery of quality cerebrovascular care. Am Fam Physician. 2009 Canadian Cardiovascular Society/Canadian guidelines for the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease in the . Oral semaglutide is the first oral GLP-1 receptor agonist available. • Causes for dyslipidemia 1. 2. PPT - DYSLIPIDEMIA PowerPoint Presentation, free download - ID:534652. Primary dyslipidemia 2. changes in how to screen for dyslipidemia different cholesterol thresholds for different groups of people, for intensifying treatment with non-statin agents the role of coronary artery calcium (CAC) scoring in deciding whether or not to recommend statin therapy preventive care of women with hypertensive (high blood pressure) disorders of pregnancy The Dyslipidemia Clinical Topic Collection gathers the latest guidelines, news, JACC articles, education, meetings and clinical images pertaining to its cardiovascular topical area — all in one place for your convenience. This report provides comprehensive information on the therapeutic development for Dyslipidemia, complete with comparative analysis at various stages, therapeutics assessment by drug target, mechanism of action (MoA), route of administration (RoA) and molecule type, along with latest updates, and featured news and press releases. The NCEP guidelines recommend dietary modification, exercise and weight control as the foundation of treatment of dyslipidemia.12 These basic interventions may provide sufficient treatment for up . Clinical Practice Guidelines (CPGs) We are now displaying the Clinical Practise Guidelines (CPGs) together with any available information on Quick Reference (QR), Training Manual (TM), as well as Patient Information Leaflet (PIL). Current knowledge on diabetic dyslipidemia as well as the important contribution of the fibrates in treating the condition were the focus of several important research presentations at the 61st Scientific Sessions of the . ; Management of Adults with Hospital-acquired and Ventilator-associated Pneumonia, 2016 pdf icon [51 pages] external icon The Infectious Diseases Society of America and American Thoracic Society . Dyslipidaemia Sameh Attia, MD Lecturer of Cardiology Ain Shams University 2. CHOLESTEROL. This algorithm for the comprehensive management of dyslipidemia and prevention of cardiovascular disease (CVD) complements the 2017 American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease and provides clinicians with a practical guide that considers the whole patient, their . Blood lipids are fatty substances, such as triglycerides and cholesterol. Blood lipids are fatty substances, such as triglycerides and cholesterol. Diagnosis Clinical features- 1) Premature arcus senilis - a white or gray opaque ring in the corneal margin 2) Tendon xanthomata - these are hard, non-tender nodular enlargement of tendons. Initiation of statin treatment for primary prevention in older people aged ≥75 years may be considered if at high risk or above. Many of them are also animated. Genest J, McPherson R, Frohlich J, et al. DYSLIPIDEMIA. ( according to 1 & 2 ) 4- Life style modifications. We performed a systematic review on vitamin D, dyslipidemia, statins, vascular calcification and CVD. Writing Committee Cochairpersons. Guidelines and recommendations should help physicians to make decisions in their daily practice. The International Society of Hypertension has published summary guidelines based on major international guidelines published between 2017 and 2020 on the control of hypertension. The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline. This new tabular display format follows closely that of the Ministry of Health (MOH) website CPG section at http . ROBERT B. KELLY, MD, MS, Fairview Hospital/Cleveland Clinic Family Medicine Residency Program, Cleveland, Ohio. PPT - DYSLIPIDEMIA PowerPoint Presentation, free download - ID:534652. O If dyslipidemia is congenital and without symptoms, exercise testing can follow the usual guidelines for individuals at risk for CAD O If dyslipidemia shows and signs/symptoms of comorbidities, testing should follow the recommendations for the particular disorder O Primary objectives of testing are to: O Diagnose CAD O Determine functional . Cardiovascular disease is a significant cause of morbidity and mortality in patients with diabetes mellitus (DM). Guillermo Umpierrez, MD . Download PowerPoint File. An imbalance of any of these factors, either from organic . This Quick Reference Guide provides KEY MESSAGES and Summary of the main recommendations in the CPG for the Management of Type 2 Diabetes Mellitus, 6th edition *NAFLD will be used in this edition of the T2DM CPG instead of MAFLD. 9. 2010 May 1 . The vast majority of intervention studies did not show an effect of vitamin D on serum cholesterol levels. Briefly, obesity is accompanied by an overproduction of VLDL by the liver due to the high flux of nonesterified fatty . The Image and Slide Gallery captures images, videos, or slides which can serve as useful teaching materials in the field of CV medicine. A large number of Guidelines have been issued in recent years by the European Society of Cardiology (ESC) as well as by other ESC/EAS Guidelines Denise Reedus , N.P. Elise F. Villard, Maryse Guerin, in The HDL Handbook (Second Edition), 2014 3.4.1 Obesity and HDL Metabolism. American Association of Clinical Endocrinologists andAmerican College of Endocrinology Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan. Dyslipidemia guidelines 1. However, the final decisions concerning an individual patient must be made by the responsible physician(s). 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