General principles of medical treatment: patients with primary arterial hypertension, in the absenc

Lithuanian Minister of Health in 2005. November 25. Order No. V-913 certified individuals attributable to cardiovascular diseases, high-risk screening brown craft paper and prevention program funding to participate in the exercise and your body.
Family doctor's actions in this program include brown craft paper the Ministry of Health in the form approved by order of the information service of notice of receipt; conversations with patients about cardiovascular disease prevention measures as well as tips on how to enhance and maintain health; capillary blood glucose determination; total cholesterol concentration in the blood serum of the setting; high-density lipoprotein cholesterol in serum determination; low-density lipoprotein cholesterol determination in blood serum; serum triglyceride determination; electrocardiogram (12 leads); general patient cardiovascular likelihood of the European brown craft paper Society of Cardiology approved cardiovascular system for calculating the probability of SCORE; intensive lifestyle modification schemes and the primary prevention plan, in patients with a single heart and vascular diseases, according to the probability of the SCORE system from 5 to 10 percent; sending the RDP detailed assessment of cardiovascular disease likelihood, if the patient has any of the following brown craft paper conditions: total cardiovascular SCORE probability of 11 percent or more; metabolic syndrome or diabetes mellitus; other artery atherosclerosis; early ischemic (coronary) heart disease, family history (parents or children with a history of ischemic heart disease: men - younger than 45 years, women - younger than 55 years); total cholesterol concentration in the blood plasma of more than 7.5 mmol / l; low-density lipoprotein cholesterol in serum concentrations greater than 6 mmol / l or suspected primary familial dyslipidemia.
Primary prevention plan for patients with a single heart and vascular diseases, according to the probability of the SCORE system from 5 to 10 percent to create recommendations for the correction of risk factors: hipocholesteroleminė diet (fat content by up to 30 per cent. Less of total calories, saturated fat to 7 percent reduction. total calories, reduction of dietary cholesterol <200 mg / day, essential fatty acids increase by up to 5 per cent.), increasing physical activity, reducing obesity brown craft paper and overweight (recommended for men km <25 kg / m 2 for women - <23 kg / m 2), and the recommendations of smoking cessation, alcohol reduction (up to 15-30 g / d of ethyl alcohol), targeted drug hypertension, dyslipidemia, and obesity, the non-drug measures have failed or their effect is not sufficient.
General principles of medical treatment: patients with primary arterial hypertension, in the absence of contraindications, should be designated an angiotensin-converting brown craft paper enzyme inhibitors (captopril, enalapril, fosinopril, lisinopril, perindopril, ramipril, trandolapril, zofenopril) and lipid-lowering drugs for all patients with LDL cholesterol of> 2.5 mmol / l and 3 months. COMPLEMENTARY AND ALTERNATIVE for the treatment was not effective.
We would like to remind you that in 2003 the United Societies cardiovascular disease brown craft paper prevention in clinical links recommended lipid levels in the blood following: total cholesterol <5 mmol / l (190 mg / dL), LDL cholesterol <3 mmol / l (115 mg / dl) , HDL cholesterol> brown craft paper 1 mmol / L (40 mg / dL) in men and> 1.2 mmol / L (46 mg / dL) in women, triglycerides <1.7 mmol / l (150 mg / dl). However, in people with cardiovascular disease or diabetes, the more stringent standards: total cholesterol should brown craft paper be reduced to 4.5 mmol / l (175 mg / dL), LDL cholesterol - up to 2.5 mmol / l (100 mg / dl) .
Clinical studies have shown that treatment with HMG-CoA reductase inhibitors (statins) reduce low-density lipoprotein cholesterol (LDL-C) levels, the incidence of coronary heart disease brown craft paper and mortality. The main principles of statin therapy for cholesterol reduction from baseline levels links provided, treatment durability, and safety.
HMG-CoA reductase inhibitors decrease cholesterol synthesis brown craft paper in the liver, brown craft paper which is most active at night. Statins effective when there is an increase in general and the small amount of cholesterol, brown craft paper a little less lowering triglycerides and increases high-density cholesterol. Lithuania is currently used for the treatment of dyslipidemia six statins: simvastatin, atorvastatin, pravastatin, fluvastatin, lovastatin, Rosu