Beyond the Guidelines: Perspectives on Management of Pediatric Patients with Hypertriglyceridemia.

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Atherosclerosis Reports Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI:10.1007/s11883-024-01237-z
Charles A Gagnon, Ambika P Ashraf
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Abstract

Purpose of review: To provide a comprehensive overview of hypertriglyceridemia (HTG) in youth, identifying gaps in categorizing triglyceride (TG) levels and management strategies, and exploring new therapies for TG reduction.

Recent findings: Non-fasting TG levels as important cardiovascular (CV) risk indicators, with HTG's pathophysiology involving genetic and secondary factors affecting TG metabolism. Emerging treatments, including those affecting the lipoprotein lipase complex and inhibiting proteins like apoC3 and ANGPTL3, show promise. The review highlights the need for specific management approaches for youth, the significance of non-fasting TG levels, and the potential of new therapies in reducing CV and pancreatitis risks, advocating for further research on these treatments' efficacy and safety.

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超越指南:儿科高甘油三酯血症患者的管理视角》(Perspectives on Management of Pediatric Patients with Hypertlyceridemia)。
综述目的:全面概述青少年高甘油三酯血症(HTG),找出甘油三酯(TG)水平分类和管理策略方面的差距,并探讨降低 TG 的新疗法:非空腹甘油三酯水平是重要的心血管(CV)风险指标,高甘油三酯血症的病理生理学涉及影响甘油三酯代谢的遗传和继发性因素。新出现的治疗方法,包括影响脂蛋白脂肪酶复合物和抑制载脂蛋白C3和ANGPTL3等蛋白的治疗方法,都显示出良好的前景。综述强调了针对年轻人采取特定管理方法的必要性、非空腹 TG 水平的重要性以及新疗法在降低心血管疾病和胰腺炎风险方面的潜力,并提倡进一步研究这些疗法的有效性和安全性。
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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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