LEVELS OF CHOLESTEROL

Formula for the calculation of the cholesterol LDL:

Cholesterol LDL = entire Cholesterol - Cholesterol HDL - [Triglicéridos: 5]

Values of Cholesterol LDL

• Risk limit 130-159 mg/dl
• High risk 160 mg/dl

The treatment with diet recommends to itself the patients with high risk of Cholesterol LDL, or 2 factors have more risk (obesity, nicotinism, stress, arterial hypertension)
The treatment with medication recommends to itself in all the patients to overcome the level of cholesterol LDL of 189 mg/dl, and in those that having values between 159 and 189 mg/dl, have 2 factors more risk (obesity, nicotinism, stress, arterial hypertension).

The diet tends to reduce the fats ingestion 30 % increasing the unsaturated ones by the saturated ones. If in spite of the diet in 2 months the levels do not improve a treatment must collaborate with medicines. The blue fish contains greasy acids n-3 - Omega replaced that diminish the risk of arteriosclerosis and of cardiovascular disease.
The colestiramina when the cholesterol is higher than 265 mg/dl, it reduces the cholesterol levels in an average of 23 mg/dl. The gemfibrozil increases 10 % the cholesterol HDL. The Lovastatina reduces the cholesterol in 36 %.

Also it has to of there is controlled the Estress, the personality, do exercise to avoid the excess weight and to control the possible diabetes appearance.

TREATMENT OF THE HIPERCOLESTEROLEMIA

Leve. -

- Values of analysis:

• Utility of the diet: It is necessary to diet and to avoid other risk factors. Effective for the majority.
• Analysis control: To do a control to him every 5 years.
• Utility of the Medicines: Exceptionally necessary, for the patients with risk factors.

Moderada. -

- Values of analysis:

• Utility of the diet: It is necessary to diet and to avoid other risk factors. Effective for the majority.
• Analysis control: A control must be done at the age of 3 months and then every year.
• Utility of the Medicines: They are necessary for the patients with risk factors and for those who are not controlled with 6 months of diet. To use estatinas, resins, fibratos.

Severa. -

- Values of analysis:

• Utility of the diet: Diet and to avoid other risk factors. Sometimes it turns out to be effective.
• Analysis control: A control must be done at the age of 2 months and then every 6 months.
• Utility of the Medicines: The medicines are necessary for all the patients since of by himself this elevation is considered of high risk. To use Estatinas, resins, fibratos.

TREATMENT OF THE MIXED COMBINED HIPERLIPEMIA

Leve. -

- Values of analysis:

• Utility of the diet: Correction of the weight, diet without fats, exercise, to avoid the alcohol
• Analysis control: A control must be done at the age of 3 months and then every year
• Utility of the Medicines: They are effective the estatinas to lower the Cholesterol LDL. They usually use the fibratos and ac. nicotínico because they raise the HDL and lower the triglicéridos.

Intensa. -

- Values of analysis:

• He is usually a relative.
• Utility of the diet: Correction of the weight, diet without fats, to avoid the alcohol, to do exercise.
• Analysis control: A control must be done at the age of 2 months and then every 6 months ó 1 year
• Utility of the Medicines: The effective fibratos are very effective, as alternative the estatinas and the ac. nicotínico are because they raise the HDL and lower the triglicéridos.

TREATMENT OF THE HIPERTRIGLICERIDEMIA

Moderate.-

- Values of analysis:

• Utility of the diet: Correction of the weight, diet without fats, to avoid the alcohol, to do exercise.
• Analysis control: To discard a diabetes or the capture of tiazidas (diuretics).
  A control must be done at the age of 3 months and then every 1 - 3 years
• Utility of the Medicines: They have not demonstrated efficacy, it is possible to try with fibratos or nicotinic acid if there are factors of risk or cardiovascular disease.

Intensa. -

- Values of analysis:

• Utility of the diet: Correction of the weight, diet without fats, to avoid the alcohol, to do exercise. This treatment is very effective but it must be strict, there are elevations sbitas that can produce a sharp pancreatitis.
• Analysis control: To discard a diabetes or the capture of tiazidas (diuretics).
  A control must be done every month up to controlling the picture and then every 6 months.
• Utility of the Medicines: It is possible to try with fibratos, nicotinic acid or oil of fish.

TO SEE ALSO

• Diets for Hiperlipemias
• Medicines Hipolipemiantes Genéricos
• Medicines Hipolipemiantes Comerciales
• Medicines Hipolipemiantes. Generalities
• Medicines Hipolipemiantes and HTA

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