让患有血脂紊乱症的青少年和年轻人过渡到成人医疗保健。

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Atherosclerosis Reports Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI:10.1007/s11883-024-01244-0
Christopher Schmitt, Thomas M Yohannan
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引用次数: 0

摘要

审查目的:儿科医疗服务提供者越来越意识到,有慢性病(如糖尿病和囊性纤维化)的青少年和年轻成年人需要及时、翔实的转归。然而,对于患有血脂紊乱、罹患过早心血管疾病风险较高的青少年来说,及时进行转归治疗的重要性和最有效的方法却鲜有公开发表的数据:有证据表明,动脉粥样硬化始于幼年。然而,目前还没有关于青少年和年轻成人血脂异常患者转归的指南。此外,尽管治疗血脂异常的药物疗法不断进步,但儿童与成人的血脂管理指南却相互矛盾。缺乏过渡指南以及对这一易感人群的管理建议不一致,使年轻成年人面临潜在疾病恶化和过早发生心血管事件的风险。
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Transitioning Adolescents and Young Adults with Lipid Disorders to Adult Health Care.

Purpose of review: Pediatric healthcare providers have increasingly become aware of the need for timely and informative transition of adolescents and young adults with chronic medical conditions such as diabetes and cystic fibrosis. However, there is paucity of published data on the importance of and most effective way to transition youth with lipid disorders who are at increased risk of premature cardiovascular disease.

Recent findings: Evidence shows that atherosclerosis begins at a young age. However, there are no guidelines on the transition of adolescents and young adults with dyslipidemia. In addition, there are conflicting guidelines for lipid management in children versus adults, despite advances in medical pharmacotherapies for dyslipidemia. The lack of guidelines for transition and discordant recommendations for management of this vulnerable population places young adults at-risk for worsening of their underlying disease, and premature cardiovascular events.

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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.
期刊最新文献
Myopathy in Statin-Treated Children and Adolescents: A Practical Approach. "Improving Diet Quality of Children with Dyslipidemia Who also Exhibit Picky Eating Behaviors". Transitioning Adolescents and Young Adults with Lipid Disorders to Adult Health Care. PCSK9 Monoclonal Antibodies Have Come a Long Way. Pericoronary Fat Attenuation: Diagnosis and Clinical Implications.
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