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Hyperlipidemi

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Definisjon:
Hyperlipidemi omfatter alle former for økt nivå av blodlipider
Forekomst:
Prevalens i Norge er ca. 250.000 eller 5% av befolkningen
Symptomer:
Hyperlipidemi er ikke forbundet med spesielle symptomer, men øker risikoen for aterosklerotisk hjerte- og karsykdom
Funn:
Vanligvis ingen kliniske funn. Xantomknuter og xantelasmer er forbundet med familiær hyperkolesterolemi
Diagnostikk:
Utredes med totalkolesterol, LDL- og HDL-kolesterol, triglyserider. Gentest ved mistanke om Familiær hyperkolesterolemi (FH), familieutredning ved påvist FH
Behandling:
Behandles med kostendringer, regelmessig fysisk aktivitet. Indikasjon for statinbehandling avgjøres av totalrisiko. Statiner fra 8-10 års alder ved FH (spesialistoppgave)
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  • Ingard Løge, spesialist i allmennmedisin, redaktør av NEL, Trondheim

Tidligere fagmedarbeidere

  • John Cooper, spesialist i allmennmedisin og indremedisin, Medisinsk avdeling, Sentralsjukehuset i Rogaland, Stavanger
  • Stein Vaaler, overlege dr. med., Senter for Klinisk Epidemiologi, Rikshospitalet, Universitetet i Oslo