This presentation was presented by me in one of the CME programs, held in Comilla, Bangladesh on the 25th. May 2009.

1. MANAGEMENT OF DYSLPIDEMIA IN FAMILY PRACTICE D R . G . C . D H A R

2. EARLY DETECTION BY WHOM?

3. Family Physician As a member of the patient’s family

12. P H Y S I C A L I N A C T I V I T Y H I G H C A L O R I E D I E T

16. Fats, Lipids & Lipoproteins in Clinical Lipidology

19. Dietary fat mainly composed of Triglyceride

20. DIETARY STEROLS 0.1-2% of total dietary fat.

23. LIPIDS- lipophilic LIPOPROTEINS- Hydrophilic

28. Contents of lipoprotein particles

46. To estimate 10 year risk of death from CAD or non-fatal Myocardial infarction

76. Skin: Yellow patches under his eyes (Xanthoma)

77. Skin: Yellow patches on the palmar surface of hands (Xanthoma)

84. Calculate LDL level by Friedewald Equation

86. For this patient 355 – 40 – (0.20X100) = 295 LDL-C = 295mg/dl

87. According to Fredrickson Classification Which type of dyslipidemia is it?

93. What is our next step? ? ? ? ?

96. C H I L D H O O D D Y S L I P I D E M I A

97. Ref: AMERICAN ACADEMY OF PEDIATRICS PEDIATRICS Vol. 122 No. 1 July 2008, pp. 198-208 (doi:10.1542/peds.2008-1349)

101. Pharmacological intervention with primary goal <160mg/dl and gradually up to <110mg/dl

109. NOT LDL-C BUT LDL-P