guias-europeas-lipidos-2016endodrchen.com/.../10/guias-europeas-lipidos-2016.pptx.pdf ·...
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![Page 1: guias-europeas-lipidos-2016endodrchen.com/.../10/guias-europeas-lipidos-2016.pptx.pdf · 2016-10-17 · 21/9/16 1 Guías ESC sobre dislipidemias 2016 Dr. Chih Hao Chen Ku, FACE Servicio](https://reader034.vdocuments.site/reader034/viewer/2022042109/5e892d5ef7409974a35cadb6/html5/thumbnails/1.jpg)
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GuíasESCsobredislipidemias2016
Dr.ChihHaoChenKu,FACEServiciodeEndocrinología,HospitalSanJuandeDiosDepartamentodeFarmacologíayToxicologíaClínica,
UniversidaddeCostaRica
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Conferencista:AstraZeneca,Abbo�Nutrición,Novar�sOncology,NovoNordisk,MerckSharp&Dohme,Roche,GlaxoSmithKline,SanofiAven�s
AdvisoryBoard:Novar�sOncology,SanofiAven�s,AstraZeneca,NovoNordisk,Stendhal,Pfizer
Inves�gaciónclínica:AstraZeneca,Novar�sPharmaLogis�csInc.,MerckSharp&Dohme,GlaxoSmithKline,Organon,BoehringerIngelheim,Roche,NovoNordisk
Conflictosdeinterés
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Agenda
Revisarlasguíasdel2016sobremanejodedislipidemias– Estra�ficaciónderiesgo– Modificacióndees�losdevida– Cuáleselimpactoreal?– Quéhaydiferenteenmetasdetratamiento?
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Algunasconsideraciones…
Pacientesdealto/muyaltoriesgorequierentratamiento– Prevenciónsecundaria– Algunosdiabé�cos– Múl�plesfactoresderiesgo
Pacientesjóvenesydebajoriesgonorequieretratamientousualmente Lacontroversiaescómoiden�ficaryquéhacerconelderiesgointermedio
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Caso#1
Masculinode50años HTAtratadoconcandesartan16mgpordía PA144/90mmHg Notabaquista IMC28kg/m2 Colesteroltotal220mg/dl,HDL34mg/dl,triglicéridos235mg/dl,LDL139mg/dl
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Caso#1
SegúnSCORE,elriesgoesbajo SegúnASCVDRiskEs�mator(PooledCohortEqua�on)8.5%a10años– Altoriesgo
Cuálesladiferencia? Mortalidadvseventos Decisióndetratamiento
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Caso#2
Pacientemasculinode32añosdeedad,consultaporunchequeomédico Tabaquistade10cigarrillospordía IMC27kg/m2 PA132/84mmHg Colesteroltotal240mg/dl,triglicéridos350mg/dl,HDL30mg/dl,LDL140mg/dl Cuáleselriesgodeestepaciente?
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Caso#2
Riesgorela�vocasi4x Riesgoabsolutomuybajo Noaplicaparaotrosscoresderiesgo(ASCVDsóloincluyeapersonasdemásde40añosdeedad)
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CÓMOSEDEBEINTERVENIR?
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TERAPIAFARMACOLÓGICA
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SITUACIONESESPECIALES
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Conclusiones
Todaslasguías�enenelcomponentedeestra�ficaciónderiesgo Quéhacerconelpacienteenriesgointermedio? Recomendacionesespecíficasdemodificacióndees�losdevidayparasituacionesespeciales Lasguíaseuropeassiguenusandometasdetratamiento(exceptoenelgrupodemuyaltoriesgo)
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Preguntas…[email protected]
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