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Professional paper - Review paper
Kolesterol – što niže, to bolje?
Medicus, 31 (2022), 1 Moždani udar; 85-91. urn:nbn:hr:220:900835
Roje Bedeković, Marina

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Roje Bedeković, M. (2022). Kolesterol – što niže, to bolje?. Medicus, 31. (1 Moždani udar), 85-91. Retrieved from https://urn.nsk.hr/urn:nbn:hr:220:900835

Roje Bedeković, Marina. "Kolesterol – što niže, to bolje?." Medicus, vol. 31, no. 1 Moždani udar, 2022, pp. 85-91. https://urn.nsk.hr/urn:nbn:hr:220:900835

Roje Bedeković, Marina. "Kolesterol – što niže, to bolje?." Medicus 31, no. 1 Moždani udar (2022): 85-91. https://urn.nsk.hr/urn:nbn:hr:220:900835

Roje Bedeković, M. (2022) 'Kolesterol – što niže, to bolje?', Medicus, 31(1 Moždani udar), pp. 85-91. Available at: https://urn.nsk.hr/urn:nbn:hr:220:900835 (Accessed 29 October 2024)

Roje Bedeković M. Kolesterol – što niže, to bolje?. Medicus [Internet]. 2022 [cited 2024 October 29];31(1 Moždani udar):85-91. Available at: https://urn.nsk.hr/urn:nbn:hr:220:900835

M. Roje Bedeković, "Kolesterol – što niže, to bolje?", Medicus, vol. 31, no. 1 Moždani udar, pp. 85-91, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:900835. [Accessed: 29 October 2024]

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Metadata
Title (croatian)Kolesterol – što niže, to bolje?
Title (english)Cholesterol – The Lower the Better?
AuthorMarina Roje Bedeković
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (croatian)
Odnos razine serumskoga kolesterola i rizika za moždani udar složen je, oprečan i prisutan u širokom rasponu serumskih razina ukupnoga kolesterola, LDL-a i HDL-a. Različite tvari različitog mehanizma djelovanja, ali s istim ciljem snižavanja razine serumskog LDL-a, statini, ezetimib i PCSK9 inhibitori snizuju incidenciju ishemijskoga moždanog udara, što izravno upućuje na uzročno-posljedičnu povezanost snižavanja serumske razine LDL-a i sprječavanja nastanka moždanog udara. Upozorenja o mogućemu povećanom riziku za hemoragijski moždani udar na temelju rezultata SPARCL istraživanja i statistički neznačajno povećanje rizika naznačeno u rezultatima IMPROVE-IT, FOURIER i Cholesterol Treatment Trialist metaanalize moguće upućuju kako bi značajno snižavanje LDL-C-a moglo uzrokovati hemoragijski moždani udar u posebno ranjivoj podskupini bolesnika, osobito u žena i bolesnika s loše reguliranom arterijskom hipertenzijom. S obzirom na to da je hemoragijski moždani udar u usporedbi s ishemijskim moždanim udarom rijedak, zabrinutost zbog mogućega povećanog rizika za hemoragijski moždani udar ne smije zasjeniti dobrobit od primjene lijekova za snižavanje LDL-C-a i boljeg ishoda vaskularnih bolesti u bolesnika liječenih ovom terapijom. Nužno je utvrditi stratifikaciju različitih kategorija bolesnika s obzirom na rizične čimbenike, kao i s obzirom na spol i životnu dob, te primijeniti individualan pristup i personalizaciju liječenja, kako u primarnoj tako i u sekundarnoj prevenciji moždanog udara.
Abstract (english)
The correlation between serum cholesterol levels to stroke risk is complex and contradictory, and exists in a whole scope of serum levels of total cholesterol, LDL and HDL. Different substances with different action mechanisms, but with a shared goal of lowering serum LDL levels, statins, ezetimibe and PCSK9 inhibitors, reduce the incidence of IS (ischemic stroke), which directly suggests a cause-and-effect link between lowering serum LDL levels and preventing stroke. Warnings of a possible increased risk of hemorrhagic stroke (HS) based on the results of the SPARCL study and a statistically insignificant increase in risk indicated in the IMPROVE-IT and FOURIER results, as well as Cholesterol Treatment Trialist meta-analyses may suggest that a significant reduction in LDL-C could cause HS in a particularly vulnerable subgroup of patients, especially in women and patients with poorly regulated arterial hypertension. As HS is rare compared to IS, concerns about potential increased risk of HS should not overshadow the benefits of LDL-C-lowering drugs and better vascular effects in patients treated with this therapy. It is necessary to determine the stratification of different patient categories in terms of risk factors as well as gender and age, and apply an individual approach and personalised treatment in both primary and secondary prevention of stroke.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicus
Numberingvol. 31, no. 1 Moždani udar, pp. 85-91
p-ISSN1330-013X
e-ISSN1848-8315
URN:NBNurn:nbn:hr:220:900835
Publication2022
Document URLhttps://hrcak.srce.hr/275920
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-08-22 09:57:32