Conclusion
Owing to the similar pathways of pathogenesis of
CHD in middle-aged and older patients, it is wise
to manage hyperlipidemia in a similar manner as
in younger patients. The elderly group carries the
highest risk for CHD and the highest burden of
atherosclerotic disease. The results of many trials
for secondary prevention support the inclusion of
the elderly in cholesterol management. The first
line of primary prevention is still therapeutic lifestyle
change, including regular physical activity
and weight control, statin therapy can and
should be considered for patients at high risk.
Although there are many special considerations
for lipid management in the elderly patients,
especially with regard to diet restriction, drugs
side effects, and drug interactions, the treatment
of dyslipidemia in elderly is both achievable and
beneficial regardless of the starting age and, it can
be cost effective.
Funding
This research received no specific grant from any
funding agency in the public, commercial, or notfor-
profit sectors.
Conflict of interest statement
None declared.
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Anum, E. and Adera, T. (2004) Hypercholesterolemia
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Benfante, R.