• Users Online: 165
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 


 
 Table of Contents  
LETTER TO EDITOR
Year : 2016  |  Volume : 2  |  Issue : 2  |  Page : 134-135

Lipid association of India expert consensus statement on management of dyslipidemia in Indians 2016 - part 1


1 Department of Cardiology, Manipal Hospital, Bangalore, India
2 Department of Cardiology, Lipid Association of , IP Apollo Hospital, New Delhi, India
3 Department of Cardiology, SNN Diagnostic Centre, Chennai, India

Date of Web Publication7-Oct-2016

Correspondence Address:
Raman Puri
A-26, 2nd Floor, South Extension Part-2, New Delhi - 110 049
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-5414.191531

Rights and Permissions

How to cite this article:
Iyengar S S, Puri R, Narasingan S N. Lipid association of India expert consensus statement on management of dyslipidemia in Indians 2016 - part 1. J Pract Cardiovasc Sci 2016;2:134-5

How to cite this URL:
Iyengar S S, Puri R, Narasingan S N. Lipid association of India expert consensus statement on management of dyslipidemia in Indians 2016 - part 1. J Pract Cardiovasc Sci [serial online] 2016 [cited 2021 Aug 3];2:134-5. Available from: https://www.j-pcs.org/text.asp?2016/2/2/134/191531

Dear Editor,

The burden of atherosclerotic cardiovascular disease (ASCVD) in India is alarmingly high and continues to increase exponentially. Not only Indians are at high risk of developing ASCVD, but also they usually get the disease at an early age, have a more severe form of the disease, and have poorer outcome compared with Western populations. Access to health care is also not optimal in India, and the treatment of ASCVD remains expensive. For all these reasons, the prevention of ASCVD becomes one of the most important public health goals for Indians.

The INTERHEART study has shown that dyslipidemia is the most important modifiable risk factor for ASCVD. This relates both to the high prevalence of dyslipidemia and also to the direct pathogenic association of lipid abnormalities with atherosclerosis. Accordingly, an extensive evidence base exists to support the value of effective management of dyslipidemia as one of the most important therapeutic interventions for prevention of ASCVD.

Numerous leading international societies have published guidelines for the management of dyslipidemia, but these guidelines are not directly applicable to Indians because of various reasons. Indians have unusually high prevalence of dyslipidemia, particularly at a younger age, and the pattern of dyslipidemia is also distinct compared with Western populations. The distribution and interplay of various other ASCVD risk factors and genetic susceptibility are also different. In addition, the population awareness about the prevention of ASCVD, cultural beliefs, socioeconomic conditions, etc., are also quite different. For these reasons, it is important to formulate policies and guidelines that accommodate these differences and propose recommendations that are best suited for our conditions. To meet this objective, the Lipid Association of India (LAI) has undertaken the task to develop a consensus document on management of dyslipidemia in Indians. This consensus document is divided into two parts - part 1 deals with all common issues related to lipid management encountered during routine clinical practice and the part 2 deals with the management of dyslipidemia in special patient populations such as those with acute coronary syndrome, familial dyslipidemias, chronic kidney disease, etc., Part 1 of the consensus document has already been published recently. The key highlights of this document are:

  • A new ASCVD risk assessment algorithm that is based mainly on risk factor counting. It has the advantages of being simple, easy to use, and more evidence-based as compared to various risk scores that are not applicable to Indians
  • Emphasis on lifetime risk assessment in those who are at low 10-year ASCVD risk
  • Combining ASCVD risk-based as well low-density lipoprotein (LDL) cholesterol level-based approach for guiding lipid management
  • Stricter targets for LDL cholesterol lowering in Indians - <50 mg/dl for those at very high risk and <70 mg/dl for those at high risk of ASCVD
  • Recognizing the value of nonhigh density lipoprotein cholesterol as an important risk factor for Indians and including it as a coprimary target for lipid lowering therapy
  • These guidelines were presented and discussed in the LAI meeting August meeting at Aerocity New Delhi 2016 [Figure 1],[Figure 2].
Figure 1: Lipid Association of India meeting.

Click here to view
Figure 2: Lipid Association of India meeting.

Click here to view


For more details, please read the full document at http://www.japi.org/march_2016_special_issue/contents.html (Journal of Physicians of India, March 2016 special issues). Alternately, for executive summary, please visit http://www.jcpconline.org/currentissue.asp?sabs = n (Journal of Clinical and Preventive Cardiology, April-June 2016 issue).


    Figures

  [Figure 1], [Figure 2]


This article has been cited by
1 Is lipid goal one-size-fits-all: A review of evidence for recommended low-density lipoprotein treatment targets in Asian patients
Yun Wang,Bryan P Yan,Brian Tomlinson,Vivian WY Lee
European Journal of Preventive Cardiology. 2019; 26(14): 1496
[Pubmed] | [DOI]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
   Article Figures

 Article Access Statistics
    Viewed1849    
    Printed48    
    Emailed0    
    PDF Downloaded212    
    Comments [Add]    
    Cited by others 1    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]