Cardiología y enfermedades cardiovasculares. Varios autores
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Dislipidemias: metas de tratamiento
Carlos Arturo Martínez Cano
Cristhian Felipe Ramírez Ramos
Gustavo Adolfo Castilla Agudelo
Resumen
Es común encontrar en nuestra práctica clínica pacientes con dislipidemia que tienen mayor riesgo de desarrollar una enfermedad cardiovascular ateroesclerótica, en especial enfermedad coronaria. Son múltiples las sociedades científicas en el mundo que han presentado su visión y recomendaciones respecto del manejo de esta afección cuando está asociada a la enfermedad cardiovascular, las cuales no se alejan de los conceptos fundamentales sobre la enfermedad. Las mayores diferencias se pueden resumir en estimación de riesgo, metas de tratamiento y aplicabilidad. Las recomendaciones en general están enfocadas en tres puntos: el primero es de acuerdo con la ausencia de enfermedad cardiovascular (prevención primaria), el segundo es en caso de presencia de esta (prevención secundaria) y el último ante el diagnóstico de trastornos congénitos o adquiridos de los lípidos. El enfoque del manejo del paciente con dislipidemia comprende los siguientes apartados: diagnóstico adecuado, descartar causas secundarias de dislipidemia y considerar causas genéticas, estratificación de riesgo cardiovascular, tratamiento según metas y finalmente monitorización de la respuesta al tratamiento y los efectos secundarios.
Palabras clave: dislipidemias,