..

56
: 178 cm, : 96 k :30.3 kg/m(grade I)
: 105 cm
(15. /)
~ 2 -3 /
:
150mg/ : 20mg/.
1 .
, 2.

:140/90mmHg : 78/min, S1,S2 ,

(-), :SR
, :
, .:
TC:257mg/dl, LDL-C : 167mg/dl HDL-C :
40mg/dL TG : 249
Glu: 102mg/dl, BUN :
16mg/dl, Creat : 0,82mg/dl, GFR:136.6 AST :
25U/l , ALT 38U/l GT : 38U/l, CK : 57U/l,
TSH : 2,3mIU/l

 56

LDL-C (=167)
? HDL-C(=40mg/dl)
A TG (249/dl

1.
2.
3.
4.

1 ;
;
;
score
;
5.
, ,
score
;

 1 ;
2. ;
3. ;
4. score
;
5.
, ,
score
;
1.

 30 min / ,

5 /
(5-10% )

(>25 /) & (2
/)
&
, :
- < 35% . .
- < 7% . .
- Trans < 1% . .
- < 300 mg
< 5 gr
(<10-20 / , <20-30 / )

& ,

ESC/EAS Guidelines on Dylslipidemias, European Heart Journal 2011;32 (14):1769-1818, Atherosclerosis 2011 Jul;217(1):3-46

ASCVD Risk Evaluation

10-year risk
of
atherosclero
tic
cardiovascul
ar disease:

22.8%

10-year risk
in a similar
patient with
optimal risk
factors :

3.9%

score : 6-9%

ESC/EAS : LDL-C & CV Risk (SCORE):

LDL-C

ESC/EAS Guidelines on Dylslipidemias, European Heart Journal 2011;32 (14):1769-1818, Atherosclerosis 2011 Jul;217(1):3-46

 :
KAN:

( )

Guidelines of the Hellenic Society of Atherosclerosis for the diagnosis and treatment of dyslipidemia.
M. Elisaf, Ch. Pitsavos,E. Liberopoulos, V. Athyros ,Hellenic Journal of Atherosclerosis 2(3):163168

 ?
?
?

5-10%


< 5gr/.
< 30% . ,..

30min/. 5 /. 150min/.

10mg x1

(kg)

96

84

- 12.5%

(kg/m2)

30.3

26.5

- 12.5%

A (mmHg)

140 / 90

135/80

- 5 mmHg

TC (mg/dL)

257

162

- 36,9%

LDL-C (mg/dL)

167

90

- 46,10%

HDL-C (mg/dL)

40

46

+ 16%

TG (mg/dL)

249

142

- 42,9%

Fast.Gluc (mg/dL)

102

98

- 3,92%

44 182
cm, :106Kg :32kg/m2
:100 (1 /)
1 /
.

:130/80mmHg
: 74/min, S1,S2
, (-), :SR,
, :
U/s:
.:
TC : 229mg/dl,
LDL-C : 127mg/dl
TG : 270mg/dl,
HDL-C : 48mg/d,
Glu: 186mg/dl,
HbA1c:8.6%
BUN : 34mg/dl,
Cr :0.9mg/dl
, GFR:157.0ml/min
AST : 42U/l,
ALT : 49U/l,
GT : 74U/l,
CK : 76U/l,
TSH : 1.9mIU/l

ASCVD
10-year risk
of
atheroscler
otic
cardiovascu
lar disease:
10-year risk
in a similar
patient with
optimal
risk
factors :

12.1%

SCORE
2%
, 44

:130

1%

TC: 229mg/dl

 ?
?
?
?

 1


LDL < 100 mg/dl, DL > 40 mg/dl <
200 mg/dl
2. LDL < 70 mg/dl, DL > 40 mg/dl <
150 mg/dl
3. LDL < 100 mg/dl, DL > 50 mg/dl <
150 mg/dl
4. LDL < 100 mg/dl, DL > 40 mg/dl
< 150 mg/dl
1.



LDL

HDL

Non-HDL ( . - HDL)

American Diabetes Association. Diabetes Care 2012; 35(Suppl 1): S11-S61

 1


LDL < 100 mg/dl, DL > 40 mg/dl <
200 mg/dl
2. LDL < 70 mg/dl, DL > 40 mg/dl <
150 mg/dl
3. LDL < 100 mg/dl, DL > 50 mg/dl <
150 mg/dl
4. LDL < 100 mg/dl, DL > 40 mg/dl
< 150 mg/dl
1.

 2


2. +
3. +
4. +
1.

 2


2. +
3. +
4. +
1.

3 !
:

()

 ?
- -
2. -3
3.
4.
1.

 TG < 400 mg/dl,

,
!!!
()
!

&
&

!
10mg

(kg)

106

88

- 16.98%

(kg/m2)

30.3

26.6

- 12.2%

A (mmHg)

130 /80

128/80

- 2mmHg

TC (mg/dL)

229

185

- 19.2%

LDL-C (mg/dL)

127

107

- 15.74%

HDL-C (mg/dL)

48

49

+ 2%

TG (mg/dL)

270

145

- 46,29%

Fast.Gluc (mg/dL)

186

118

- 36.56%


!!!