高脂血症
清 島 満*
Guideline for Hyperlipidemia
Mitsuru SEISHIMA, MD*
The guideline for hyperlipidemia was first discussed at the meeting of the Japan Atherosclerosis Society in 1987 and further discussed and published for the first time by the Society in 1997. Thereafter, a new guideline “Japan Atherosclerosis Society(JAS) Guidelines for Diagnosis and Treatment of Atherosclerotic Cardiovascular Diseases” was released in September 2002 taking the results of J-LIT study and others into consideration. The diagnostic values of TC, LDL-C, HDL-C and TG for hyperlipidemia are ≧220mg/dl, ≧140mg/dl, ＜40mg/dl, and ≧150mg/dl, respectively, the same figures as those of a previous guideline in 1997. Other criteria were made as management goals for patients with coronary heart disease in each category, classified by the number of risk factors. According to the criteria, the recommended level of TC is ＜240mg/dl in males aged less than 45 with no risk factors. If any result is abnormal, treatment by life style and dietary modification should be started first and drug therapy should be a second choice. It should be noted that this guideline helps to inform, not replace, the physician's clinical judgement, which must ultimately determine the appropriate treatment for each individual.
[Rinsho Byori 51 : 576〜580, 2003]
*Department of Clinical Laboratory Medicine, Gifu University School of Medicine, Gifu 500-8705
【Key Words】guideline for hyperlipidemia(高脂血症ガイドライン)，multiple risk factors(マルチプルリスクファクター)，coronary heart disease(冠動脈疾患)
*岐阜大学医学部総合病態・予防医学臨床検査医学分野(〒500-8705 岐阜市司町40)
E-mail :seishima@cc.gifu-u.ac.jp