Publication: Expert opinion on the applicability of dyslipidemia guidelines in Asia and the middle east
Issued Date
2018-01-01
Resource Type
ISSN
11787074
Other identifier(s)
2-s2.0-85064836681
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Mahidol University
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SCOPUS
Bibliographic Citation
International Journal of General Medicine. Vol.11, (2018), 313-322
Suggested Citation
Mostafa Alshamiri, Mahmood Mohammed Ali Ghanaim, Philip Barter, Kuan Cheng Chang, Jian Jun Li, Bien J. Matawaran, Anwar Santoso, Sameh Shaheen, Ketut Suastika, Nuntakorn Thongtang, Ahmad K.M. Yusof Expert opinion on the applicability of dyslipidemia guidelines in Asia and the middle east. International Journal of General Medicine. Vol.11, (2018), 313-322. doi:10.2147/IJGM.S160555 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/47244
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Title
Expert opinion on the applicability of dyslipidemia guidelines in Asia and the middle east
Other Contributor(s)
University of Santo Tomas, Manila
Dubai Hospital
Universitas Udayana
Universitas Indonesia
University of New South Wales (UNSW) Australia
Fuwai Hospital
Institut Jantung Negara Kuala Lumpur
Ain Shams University, Faculty of Medicine
King Saud University
Faculty of Medicine, Siriraj Hospital, Mahidol University
China Medical University Taichung
Dubai Hospital
Universitas Udayana
Universitas Indonesia
University of New South Wales (UNSW) Australia
Fuwai Hospital
Institut Jantung Negara Kuala Lumpur
Ain Shams University, Faculty of Medicine
King Saud University
Faculty of Medicine, Siriraj Hospital, Mahidol University
China Medical University Taichung
Abstract
© 2018 Alshamiri et al. Cardiovascular disease (CVD) is a growing burden across the world. In Asia and the Middle East, in particular, CVD is among the most prevalent and debilitating diseases. Dyslipidemia is an important factor in the development of atherosclerosis and associated cardiovascular events, and so effective management strategies are critical to reducing overall cardiovascular risk. Multiple dyslipidemia guidelines have been developed by international bodies such as the European Society of Cardiology/European Atherosclerosis Society and the American College of Cardiology/American Heart Association, which all have similarities in practice recommendations for the optimal management of dyslipidemia. However, they differ in certain aspects including pharmacological treatment, lifestyle modification and the target levels used for low-density lipoprotein cholesterol. The evidence behind these guidelines is generally based on data from Western populations, and their applicability to people in Asia and the Middle East is largely untested. As a result, practitioners within Asia and the Middle East continue to rely on international evidence despite population differences in lipid phenotypes and CVD risk factors. An expert panel was convened to review the international guidelines commonly used in Asia and the Middle East and determine their applicability to clinical practice in the region, with specific recommendations, or considerations, provided where current guideline recommendations differ from local practice. Herein, we describe the heterogeneous approaches and application of current guidelines used to manage dyslipidemia in Asia and the Middle East. We provide consensus management recommendations to cover different patient scenarios, including primary prevention, elderly, chronic kidney disease, type 2 diabetes, documented CVD, acute coronary syndromes and family history of ischemic heart disease. Moreover, we advocate for countries within the Asian and Middle East regions to continue to develop guidelines that are appropriate for the local population.