Hi! india should have own lipid guideline

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Ramachandra Barik

Santé & Médecine

TIME TO THINK
AFTER THE RELEASE OF NEW CHOLESTEROL GUIDELINES 2013 BY AHA/ACC WHICH ASSERTED THAT HEALTH
CARE PROVIDERS SHOULD PRESCRIBE STATINS TO EVEN HEALTHY PERSON IF THEIR 10-YEAR
CARDIOVASCULAR RISK IS FOUND TO BE 7.5% OR GREATER
THEN WHAT INDIA SUBCONTINENT(120 CORES) SHOULD DO NOW?

CHOLESTEROL GUIDELINES
INDIA
No guidelines

REST OF WORLD
 American Heart Association (AHA) and the
American College of Cardiology (ACC)
 NICE
 British guidelines
 New Zealand heart foundation guidelines

SHOULD INDIA FOLLOW THE AMERICAN
GUIDELINES ? ANSW:NO
INDIAN











FOOD:MORE SUGARS
JUNK FOODS ENOUGH
ABDOMINAL OBESITY
RAPIDLY IMPROVEMENT IN ECONOMY ADDS
SEDENTARY AND tasty foods
SMALL LDL RISK
LOW HDL
HIGH TRIGLYCERIDE
MORE DIABETEICS TENDENCY
MORE BODY FAT

AMERICAN
 FOOD RICH IN MEAT
 LESS BODY FAT BUT MORE
MUSCLE
 REST ALL DIFFERS

INTERIM RELIEF
British

EXPLANATION
 Consider multiple risk factors
 Consider HDL
 CONSIDER TRIGLYCERIDE LEVEL

New Zealand
heart
foundation

INGREDIENTS IN INDIAN CHOLESTEROL GUIDELINES
• STRICT VERDICTS FOR LIFE STYLE MEDICATION[NO JUNK FOOD:TOBACCO,ALCOHOL,CIGGAR,COLD DRINK
AND ALL JUNK STUFFS

• EXERCISE OR EQUIVALENT MUST
• ABDOMINAL OBESITY MUST BE MONITORED IN “BELLY CURVE”
• KEEP STATIN DOSE LOW FOR DIABETOGENIC INDIAN
• „SMALL DENSE LDL IS BIGGEST RISK FOR INDIAN :MEASURE IT AND TACKLE IT

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