Hyperlipidemia Management for Primary Care: An Evidence-Based Approach / Edition 1

by Brian V. Reamy

Overview

One of the possible benefits of 30 years of medical practice is the ability to develop some sense of perspectivewith regardto majortransitionsin medicine. Manyphy- cians who graduated from medical school in the mid- to late 1970s may recall fe- ing less than comfortable about counseling patients regarding lifestyle modification and heart disease risk. A total cholesterol of 250 mg% at that time was considered within normal limits. The best information on the causation of heart disease came from epidemiologic data showing associations between increased consumption of dairy products and fat in the industrialized countries of northern Europe and Am- ica, and a corresponding increase in morbidity and mortality from heart disease as compared to other countries that were less well developed or as compared to Mediterranean countries, where there was a different type of diet lower in saturated fats and cholesterol. Treatment options in those days were based more on anecdotal information and observation than on evidence. The idea that coronary artery disease was an in?- matory problem in which the main culprit was oxidized LDL and the idea that heart disease risk could be managed had not yet made the transition to clinical pr- tice. This attitude all changed as information from the largest and longest running prospective epidemiologic study on heart disease—the Framingham Study—began publishing data on causality and risk factors.

Product Details

ISBN-13:	9780387766058
Publisher:	Springer New York
Publication date:	08/08/2008
Edition description:	2008
Pages:	228
Product dimensions:	6.10(w) x 9.20(h) x 0.50(d)
Age Range:	3 Months

Table of Contents

Overview of Evidence Supporting the Treatment of Hyperlipidemia.- National Cholesterol Education Program: Adult Treatment Panel III Guidelines and the 2004 Update.- Dietary Interventions.- Therapeutic Foods.- Exercise Interventions to Reduce Lipids and Cardiovascular Disease Risk.- Drug Treatment.- Special Populations.- New Issues in the Screening and Prevention of Cardiovascular Disease.- Practical Approach to the Patient with Hyperlipidemia.- Cases.- Future Directions.

Editorial Reviews

Reviewer: Heather Huang, MD (University of Wisconsin School of Medicine and Public Health)
Description: This is an evidence-based, comprehensive resource for primary care providers that delivers up-to-date information about the treatment of hyperlipidemia.
Purpose: The purpose is to provide current, up-to-date information that will assist physicians in delivering optimal treatment of patients with hyperlipidemia. In a time when obesity and cardiovascular disease is so prevalent, this information is invaluable.
Audience: The book is well written at an appropriate level for its audience of primary care providers.
Features: It addresses the extensive evidence base that already exists to support the treatment of hyperlipidemia, reviewing current national guidelines and providing extensive information on lifestyle changes, nondrug treatment (including foods, herbs, supplements, diets such as Atkins, South Beach), and drug treatment. It also discusses screening and prevention of cardiovascular disease. Every chapter is well organized and comprehensively reviews the existing literature on that topic. The final chapter is a collection of invaluable cases that demonstrate how providers may integrate the information and guiding principles learned from the book.
Assessment: Primary care physicians who treat patients with hyperlipidemia or cardiovascular disease, or who are seeking to prevent these diseases in their patient populations, will want to have this book on their shelves. Taking a practically approach and summarizing key points from each section, it succinctly and comprehensively reviews the current evidence-based literature and guidelines for hyperlipidemia management.

Doody's Review Service

Reviewer: Heather Huang, MD(Rush University Medical Center)
Description: This is an evidence-based, comprehensive resource for primary care providers that delivers up-to-date information about the treatment of hyperlipidemia.
Purpose: The purpose is to provide current, up-to-date information that will assist physicians in delivering optimal treatment of patients with hyperlipidemia. In a time when obesity and cardiovascular disease is so prevalent, this information is invaluable.
Audience: The book is well written at an appropriate level for its audience of primary care providers.
Features: It addresses the extensive evidence base that already exists to support the treatment of hyperlipidemia, reviewing current national guidelines and providing extensive information on lifestyle changes, nondrug treatment (including foods, herbs, supplements, diets such as Atkins, South Beach), and drug treatment. It also discusses screening and prevention of cardiovascular disease. Every chapter is well organized and comprehensively reviews the existing literature on that topic. The final chapter is a collection of invaluable cases that demonstrate how providers may integrate the information and guiding principles learned from the book.
Assessment: "Primary care physicians who treat patients with hyperlipidemia or cardiovascular disease, or who are seeking to prevent these diseases in their patient populations, will want to have this book on their shelves. Taking a practically approach and summarizing key points from each section, it succinctly and comprehensively reviews the current evidence-based literature and guidelines for hyperlipidemia management. "