Principles of treatment of dyslipidemia

The article was written by Assoc. Prof, Dr., BSCK II Chu Hoang Van, Department of Medical Examination - Vinmec Times City International Hospital

Blood lipid metabolism disorder is a very common disease, if not treated promptly, it will cause many dangerous complications such as atherosclerosis, embolism. The following article will help you better understand the principles of treating dyslipidemia to achieve the best effect.

Dyslipidemia is a disorder or excess of fat in the blood, affecting 1 of 4 important components such as: total cholesterol, triglycerides, LDL-Cholesterol and HDL-cholesterol. If this disorder is prolonged, it will cause atherosclerosis, embolism..
Normally, the body also needs a certain amount of blood fat to participate in the body's metabolism, providing energy for the body. body. Fat in the blood only causes disease when it is disordered (increase or decrease excessively).
Disturbances in blood lipids are closely related to diet, activity level, body movement and presence (or not) of related metabolic diseases (Glucose, Uric Acid in the blood) and medical history. Cardiovascular disease (hypertension, coronary artery disease ...) This pathological combination makes the disease worse and requires long-term follow-up counseling, more specific, more active, more appropriate treatment.

Often posed: during routine health check-ups. When the patient has a history or clinical symptoms (overweight, obesity, chest pain, fatigue) or a family member with dyslipidemia.
Diagnosis is made by testing blood lipid components: total cholesterol, triglycerides, LDL-cholesterol and HDL-cholesterol and related metabolic disease tests (Glucose, Uric acid, liver enzymes, kidney function). .)

Secondary : due to a sedentary lifestyle , smoking and eating a lot of saturated fat ( pork , red meat ) . diabetes, kidney failure, hypothyroidism or side effects when taking drugs ..) Primary : Familial hyperlipidemia / genetic mutation Yes (or not) associated cardiovascular risk: hypertension , diabetes, gout. Having a family member with diabetes, coronary heart disease, high blood pressure...

Treatment goals: bring the blood lipid test values ​​to normal: LDL-cholesterol < 2.6 mmol/l, Total cholesterol < 4 mmol/l, Raised HDL-cholesterol > 1, triglyceride < 1.7 mmol/l and reduce cardiovascular risk with comorbidities. If only increased cholesterol group: Use STATIN group of drugs and if triglycerides increase: use FIBRAT drug group (to prevent pancreatitis when triglycerides are too high) If dyslipidemia is combined (increase in both cholesterol and triglyceride groups): then Using a combination of the two groups of drugs above (note the side effects of muscle pain when using the combination drug)

Combined treatment of related diseases (if any): hypertension, diabetes, chronic gout, fatty liver, elevated liver enzymes, creatinine above normal
Should periodically re-examine clinical and blood tests after 30 days or 3 months / time - 6 months / time depending on the degree of dyslipidemia and associated diseases.
Counseling: For long-term effective treatment of dyslipidemia:
It is necessary to have a plan, a long-term, continuous, controlled treatment method, it is necessary to combine drugs with changes in lifestyle and diet. suitable for living and working conditions, avoiding psychological and physical exertion.
Should exercise regularly, daily (at least 30 minutes - 1 hour), suitable for living conditions and health, age. Exercise methods can be applied to each individual: Walking, cycling, running, swimming, table tennis, tennis ... Diet: reduced salt, saturated fat, maximum sugar, as well as red meat, animal fat, maximum animal viscera, no stimulants (tobacco, strong alcohol...). Should eat fish, vegetables, chicken more, drink enough water (> 1500 ml/day), can drink red wine (200-300 ml/day.The effects of exercise and dietary changes are okay. to determine weight (maintain BMI
25) Should be combined with anti-oxidants, stabilizing blood lipids, with long-term effectiveness such as: natural vitamin E 400 mg 1v/day or Armolipid plus, Omega 3, 1v / day These drugs can be taken for monthly or yearly maintenance, if there are no side effects, allergies, forced to stop taking the drug (in case of pregnancy, first time use, should consult a doctor directly. )
Periodic health check-up helps to detect diseases early, thereby creating a treatment plan for optimal results. Each customer's age, gender and individual needs with a reasonable price policy, including:
Vip general health checkup package Standard general health checkup package Patient's examination results will be returned After receiving the results General health examination, if detecting diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with outstanding quality of treatment and customer service.