Danish Guidelines for Lipid-lowering Treatment in Patients with Chronic Renal Failure

Hans Dieperink, Jeppe Hagstrup Christensen, Bo Feldt-Rasmussen, Erik Berg Schmidt, Danish Society of Cardiology

    2 Citations (Scopus)

    Abstract

    Measurement of lipid profile in adults with CKD 1-5: We recommend measuring the lipid profile (T cholesterol, LDL cholesterol, HDL cholesterol and triglycerides) in all adults with newly diagnosed CKD 1-5 (including patients in renal replacement therapy). Monitoring of lipid profile in adults with CKD 1-5: In many cases it is not necessary to regularly monitor the lipid profile. Patients ≥ 50 years with CKD 1-5 ND: We recommend that these patients be treated with a statin (CKD 1-2, evidence level B), and in CKD patients in stages 3-5 ND that a statin or the combination statin/ezetimibe be used (evidence level A). Patients aged 18-49 years with CKD 1-5 ND: We suggest treating these patients with a statin if they also have one or more of the following conditions (evidence level A): known CVD, DM, Prior ischaemic stroke, Estimated 10-year risk of coronary death or non-fatal AMI > 10 % or risk of fatal cardiovascular disease > 5% (SCORE). Patients with CKD stage 5D: We suggest that these patients not be given a statin or started on statin/ezetimibe treatment (evidence level A). Patients who start dialysis and are already being treated with a statin or statin/ezetimibe: We suggest that treatment be continued (evidence level C). Adult kidney transplanted patients: We suggest that these patients be treated with a statin (evidence level B).

    Original languageEnglish
    Article numberC4843
    JournalDanish Medical Journal
    Volume61
    Issue number4
    Pages (from-to)1-5
    Number of pages5
    ISSN1603-9629
    Publication statusPublished - Apr 2014

    Keywords

    • Cardiovascular Diseases
    • Comorbidity
    • Denmark
    • Diabetic Angiopathies
    • Diabetic Nephropathies
    • Dyslipidemias
    • Humans
    • Hypolipidemic Agents
    • Kidney Failure, Chronic
    • Kidney Transplantation
    • Renal Dialysis

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