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Chapter 33 - Lipid Management
from Section III - Care of the Elderly by Organ System
- By Phil Mendys, Adam Moskowitz, Ross J. Simpson
Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
Book:

Reichel's Care of the Elderly

Published online:

30 June 2022

Print publication:

21 July 2022, pp 407-417
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Summary

Our understanding of the causal role of serum lipids in atherosclerosis and the development of myocardial infarction and stoke in the elderly is evolving rapidly. We know now that aggressive lipid management can help stabilize atherosclerosis and reduce new and recurrent infarctions in most adults under age 75 and evidence-based guidelines support lipid management with diet, exercise, and medications for older adults under age 75, with the safety and efficacy of statins and now the PCSK-9s well established. For older adults, particularly those under age 85, similar trends persist, but the data is less well established and individualization of therapy with dose adjustment, based on expected quality of life and expected benefit and risks, is encouraged. The availability of newly developed drugs and clinical trials in the elderly to control serum lipids is expected to provide additionally guidance for treatment in older patients in the near future.

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Chapter 33 - Lipid Management

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Chapter 33 - Lipid Management

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