According to statistics, nearly 40% of adults in China suffer from dyslipidemia. Of these, only about 30% of people know that they are ill, and less than 10% of them have achieved lipid control standards. Although it is often heard of dyslipidemia, there is little understanding of when normal people check lipids and the control goals of dyslipidemia. In this episode, we will talk about this topic:
On-line doctor: Li Cuiyun
The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine
Fujian Provincial People's Hospital
Department of Cardiology, Associate Chief Physician, M.D
Topic: Dyslipidemia
What are lipids?
Blood lipids are a general term for cholesterol, triglycerides, and lipids (such as phospholipids) in plasma.
Blood lipids closely related to disease are mainly cholesterol and triglycerides, as well as free fatty acids and phospholipids. Cholesterol is divided into low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C).
What is arterial atherosclerosis (arteriosclerosis) and plaque?
The blood vessels are equivalent to the sewer pipes in the usual home, and the sewer pipes are used for a long time, and the dirt in the water is easy to grow scale. Similarly, blood vessels are also prone to form plaque under the action of various risk factors (a very important factor of blood lipids) and cause hardening of the blood vessels.
What are the manifestations of hyperlipidemia?
The danger of hyperlipidemia is that it is not easily perceived. Because dyslipidemia is often asymptomatic, but it can cause serious diseases such as myocardial infarction and stroke, it is known as the "silent killer".
There are also some clues to increased blood lipids, and some patients can have xanthelasma on the skin, but in addition to xanthoma at the eyelids, xanthomas in other parts (tendons, elbows, knees, buttocks or ankles, etc.) are more hidden and less easily detected.
People with dyslipidemia?
People with obesity, diabetes, hypertension, gout and other diseases;
People who have a lifestyle such as smoking, drinking alcohol, excessive intake of sugar/carbohydrates and foods high in fat, sedentary, poor exercise, etc.
How often do I check for blood lipids?
It is recommended that adults over the age of 20 have their lipids checked at least once every 5 years.
Men over 40 years of age and postmenopausal women should have lipid tests done annually.
Ischemic cardiovascular and cerebrovascular disease (angina, myocardial infarction, stroke, transient ischemic attack, etc.) and its high-risk population should be measured every 3 to 6 months.
How are dyslipidemias treated?
Lifestyle interventions (diet, exercise therapy, etc.) are the basis for controlling blood lipids, safely, effectively and economically. In general, mild dyslipidemia with no associated risk factors can be controlled with diet and exercise therapy.
If there are still abnormalities in blood lipids after 3 months of lifestyle changes, they are treated with drugs and other methods.
If, after 3 months of lifestyle changes, blood lipids return to normal, you should continue to adhere to a healthy lifestyle and follow up regularly.
How to prevent dyslipidemia?
Control diet: Eat less foods with high sugar content and high fat content, such as desserts, cakes, sweet drinks, fatty meat, cream, lard and other animal oils, fried foods, etc.
Strengthen your workouts and control your weight.
Regular physical examinations, check blood lipid levels, and intervene in a timely manner if there are abnormalities.
If there is diabetes, nephrotic syndrome, hypothyroidism and other diseases that are easy to cause hyperlipidemia, they should cooperate with doctors for active treatment.
Transferred from: Dr. Lilac
Doctor Introduction
Li Cuiyun
Deputy Chief Physician, M.D. In 2000, he graduated from Fujian University of Traditional Chinese Medicine with a master's degree in internal medicine in traditional Chinese medicine. He has long been engaged in the diagnosis and treatment of cardiovascular diseases in traditional Chinese and Western medicine, and is good at the diagnosis and treatment of common diseases such as hypertension, coronary heart disease, arrhythmia, heart failure, cardiomyopathy and rescue of critical and severe diseases. In 2004, he studied cardiac catheterization technology in the Heart Catheterization Department of Zhongshan Hospital Affiliated to Fudan University in Shanghai, and in 2015, he went to Cleveland Heart Medical Center in the United States for visiting study. Qualified for National Coronary Intervention, Pacemaker Implantation and Electrophysiological Radiofrequency Ablation. He specializes in coronary intervention, pacemaker implantation and cardiac electrophysiological radiofrequency ablation. He is currently the vice chairman of the Youth Committee of fujian Provincial Association of Cardiovascular Diseases in Combination of Traditional Chinese and Western Medicine, a member of the Second Cardiac Interventional Professional Committee of the Chinese Medical Doctor Association Branch of Integrated Traditional Chinese and Western Medicine, a member of the Interventional Cardiology Professional Committee of the World Federation of Chinese Medicine Societies, and a member of the Youth Committee of the Electrophysiological Pacing Branch of fujian Medical Association.
Source: FM1036 Fujian News Broadcast