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Cholesterol: new limits vary according to the risk of cardiovascular events

Cholesterol: new limits vary according to the risk of cardiovascular events

This last weekend happened in Rio de Janeiro the Congress of the Brazilian Society of Cardiology. This congress is highly anticipated by the launch of the new guidelines, which are guidelines created by consensus by experts in the field to guide the treatment of various diseases. The most anticipated was the V Brazilian directive on Dyslipidemias and Prevention of Atherosclerosis, which has already been announced for a long time and has not yet been launched. But the Brazilian Society of Cardiology (SBC) has already advanced the key points and focus of the new guidelines, which are aimed at risk prevention and stratification in ordinary people not affected by diseases. step is risk assessment. This is done by means of scores, which add up to points based on the patient's physical examination and history. High-risk: people with atherosclerotic disease (stroke, stroke, stroke, stroke, stroke, stroke, stroke, arterial obstruction, intermittent claudication), previous coronary artery bypass surgery, diabetes, chronic kidney disease, and familial hypercholesterolemia.

Low risk: people who are less than 5% less likely to develop a cardiovascular event within 10 years. Those who are considered low risk, but who have first-degree relatives with premature illness, are considered intermediate risk.

Intermediate risk: women with 5 and 10% chance of having a cardiovascular event in 10 years and men who have a probability of 5 to 20%.

In this, the presence of aggravating factors automatically makes the risk higher. These factors can be found in imaging tests (carotid ultrasound, echocardiogram and heart tomography), laboratory tests (blood and urine) and clinical measurements. After the evaluation, the treatment is appropriate to the person's risk. The main focus of treatment to lower the risk of cardiovascular disease is LDL cholesterol, which is directly related to cardiac events - the higher the rate , the greater the risk of complications. LDL cholesterol responds relatively little to lifestyle changes (which should not be discontinued, as these measures in themselves already reduce cardiac risk independent of cholesterol counts). So, diet and remedies are more effective in reducing that substance in the body. Considering the relationship between high cholesterol and cardiovascular events, the new guidelines present differences in cholesterol levels among people with different risks:

  • High-risk patients: LDL below 70 mg / dL
  • Patients at intermediate risk: LDL below of 100 mg / dL
  • Patients with low risk should have their cholesterol limits individualized by the physician.

In addition to cholesterol, the level of triglycerides in the blood is also determinant in cardiac risk. However, unlike the former, it responds very well to diet and exercise practices in order to have rates controlled, and the need for association of remedies is rare. So remember: preventive care is the key to a long and healthy life.


Cláudia Rodrigues is again hospitalized in SP

Cláudia Rodrigues is again hospitalized in SP

The hospitalization was in the medical center Cevisa, that is in the city of Engenheiro Coelho, interior of São Paulo. The idea is to confirm if there is a possible outbreak of the disease. The actress had already been hospitalized and diagnosed with herpes zoster in November 2017, and because she also suffers from multiple sclerosis, it is more common to suffer side effects months after treatment For now there is no prediction of discharge and if there is any sequel Learn more about multiple sclerosis here.

(Health)

Man has hand placed inside the belly to avoid amputation

Man has hand placed inside the belly to avoid amputation

Brazilian doctors, led by the orthopedist and traumatologist Boris Brandao, have done an innovative technique to prevent a man from having his hand amputated. They placed Carlos Mariotti's left hand inside his abdomen and covered it with a flap of his own skin for protection. Carlos had his left hand seriously injured in a terrible work accident.

(Health)