A Strict Target for Low-Density Lipoprotein Cholesterol May not Be Necessary for Secondary Prevention of Cardiovascular Disease in All Elderly Patients With Dyslipidemia

Shin-ichiro Miura, Yousuke Katsuda, Makoto Sugihara, Amane Ike, Hiroaki Nishikawa, Akira Kawamura

Abstract


According to the Japan Atherosclerosis Society Guidelines for the Prevention of Atherosclerotic Cardiovascular Diseases 2017, standard statin therapy for hyper-low-density lipoprotein cholesterol cholesterolemia in elderly patients may be effective for the secondary prevention of coronary artery disease, as in non-elderly adults. On the other hand, high-intensity statin therapy may not be recommended in all elderly cardiovascular disease patients with dyslipidemia, and particularly in elderly patients aged >= 85 years. In any case, tailor-made medical care with use of statin is required that matches the background of each patient.




Cardiol Res. 2020;11(6):366-369
doi: https://doi.org/10.14740/cr1157

Keywords


Low-density lipoprotein cholesterol; Coronary artery disease; Statin therapy; Elderly

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