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在acs ami這個產品中，有2篇Facebook貼文，粉絲數超過7萬的網紅臨床筆記，也在其Facebook貼文中提到， #teaching #lipid 高血脂 • 治療目標是預後（心血管疾病、中風、健康、住院、死亡），而不是血脂濃度。 • 血脂（膽固醇、LDL-C、HDL-C、TG）：每 10 年檢驗一次，不需要禁食（愛因斯坦：「要打破人的偏見比崩解一個原子還難」）。 • 初級預防：中強度 statin...

acs ami 在 臨床筆記 Facebook 的精選貼文

臨床筆記 By 臨床筆記

2020-10-28 11:23:03 有 86 人按讚
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#teaching #lipid
高血脂

• 治療目標是預後（心血管疾病、中風、健康、住院、死亡），而不是血脂濃度。
• 血脂（膽固醇、LDL-C、HDL-C、TG）：每 10 年檢驗一次，不需要禁食（愛因斯坦：「要打破人的偏見比崩解一個原子還難」）。
• 初級預防：中強度 statins，不要用 PCSK9 抑制劑。高危險群者能加上地中海飲食。
• 次級預防：中強度 statins，高危險群（AMI 之後、ACS 一年內、復發性 AMI/ACS/中風、糖尿病、抽煙、PAOD、PCI、CABG）病人可以用高強度 statins、加上 ezetimibe/PCSK9 抑制劑、禁食 TG > 150 mg/dL（非禁食 TG > 200 mg/dL）者能加上 VASCEPA（Icosapent Ethyl）、地中海飲食。
• 沒有幫助：CAC、CRP、ABI、apolipoproteins。
• 不要用 niacin、fibrates。
Lipitor (atorvastatin 10-20 mg/tablet), Crestor (rosuvastatin 10 mg/tablet).

https://www.acpjournals.org/doi/full/10.7326/M20-4648…

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About author
這裡是心臟內科及重症專科醫師 林世崇的醫療筆記部落格，提供實用的臨床醫療資訊，歡迎分享！
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acs ami 在 臨床筆記 Facebook 的最讚貼文

臨床筆記 By 臨床筆記

2020-10-28 10:28:30 有 44 人按讚
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#lipid #gdl
Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2020 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline 2020

• 治療目標是預後（心血管疾病、健康、住院、死亡），而不是血脂濃度。
• 血脂（膽固醇、LDL-C、HDL-C、TG）：每 10 年檢驗一次，不需要禁食。
• 初級預防：中度劑量的 statins，不要用 PCSK9 抑制劑。高危險群者能加上地中海飲食。
• 次級預防：中度劑量的 statins，高危險群（AMI 之後、ACS 一年內、復發性 AMI/ACS/中風、糖尿病、抽煙、PAOD、PCI、CABG）病人可以用高強度 statins、加上 ezetimibe/PCSK9 抑制劑、禁食 TG > 150 mg/dL（非禁食 TG > 200 mg/dL）者能加上 VASCEPA（Icosapent Ethyl）、地中海飲食。
• 沒有幫助：CAC、CRP、ABI、apolipoproteins。
• 不要用 niacin、fibrates。
Lipitor (atorvastatin 10-20 mg/tablet), Crestor (rosuvastatin 10 mg/tablet).

1. Continue to Treat to Target Dose Not LDL-C Level

2. Use of Additional Tests to Refine Risk Prediction: Evidence Is Still Insufficient
coronary artery calcium (CAC), high-sensitivity C-reactive protein, ankle–brachial index, and apolipoprotein

3. Primary Prevention: Moderate-Dose Statin Therapy Is Still Emphasized; No to Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors
No RCT directly compared high-dose with moderate-dose statin therapy in primary prevention.

4. Secondary Prevention: Moderate Statin Doses Initially, Then Stepped Intensification in Higher-Risk Patients
For higher-risk patients (recent MI or acute coronary syndrome (in the past 12 months); recurrent acute coronary syndrome, MI, or stroke; or established CVD with additional major risk factors (such as current tobacco use, diabetes, peripheral artery disease, or previous coronary artery bypass graft surgery or percutaneous coronary intervention), evidence supports the addition of ezetimibe or PCSK9 inhibitors to moderate- or high-dose statin therapy.

5. Laboratory Testing: No Routine Fasting or Monitoring Is Needed; Less Is More
We recommend measuring lipid levels no more than every 10 years. Note that previously measured lipid levels may be used reliably in serial CVD risk assessments. We do not recommend rechecking lipid levels each time CVD risk is assessed, because lipid levels remain stable within each patient over time and contribute little to predicted risk relative to other factors.

6. Physical Activity: Increased Aerobic Exercise for All and Cardiac Rehabilitation After a Recent CVD Event

7. Nutrition, Supplements, Niacin, and Fibrates: Suggest a Mediterranean Diet for High-Risk Patients, Limit Icosapent Ethyl to Secondary Prevention, Avoid Supplements and Niacin, and Avoid Adding Fibrates to Statin Therapy
https://www.acpjournals.org/doi/full/10.7326/M20-4648

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臨床筆記

About author
這裡是心臟內科及重症專科醫師 林世崇的醫療筆記部落格，提供實用的臨床醫療資訊，歡迎分享！
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#66. Menu - emupdates

ECG ACS AMI STEMI Variants // 2009 AHA STEMI Update · 1. GP IIb/IIIa receptor antagonists (abciximab/reopro or eptifibatide/integrilin) can wait ...

#67. 回收可乐瓶制备的多层级多孔纳米纤维膜高效捕获PM2.5及模拟 ...

曼彻斯特大学李加深团队《ACS AMI》：变废为宝-回收可乐瓶制备的多层级多孔纳米纤维膜高效捕获PM2.5及模拟病毒. 2021-10-08 来源：高分子科技.

#68. ACS Publications Lectureships

Advances in Measurement Science Lectureship Award. Sponsored by ACS Measurement Science Au , ACS Sensors , Analytical Chemistry , Journal of Proteome Research , ...

#69. 【能源】鄭大孫晨凱和化學所李永舫院士等ACS AMI - 中國熱點

【能源】鄭大孫晨凱和化學所李永舫院士等ACS AMI：低成本的α位氟取代雙噻吩基苯並二噻吩單元. 2021-11-21. 聚合物太陽能電池（PSCs）作為新一代太陽能利用技術，具有 ...

#70. New paper in ACS AMI

New paper in ACS AMI. Post date: Nov 8, 2019 12:12:57 AM · in ACS AMI. Post date: Nov 8, 2019 12:12:57 AM · Jong Bin Kim, Gun Ho Lee, and Shin-Hyun Kim*, " ...

#71. 微小肿瘤再无藏身之地！科学家开发可以发光并产热的高分子 ...

2018年3月16日讯/生物谷BIOON /——癌症治疗最主要的一个问题找到微小肿瘤并在它们转移之前杀灭它们。图片来源：ACS AMI为了克服这个问题，来自威克·弗 ...

#72. 【材料】ACS AMI 通过四面体框架核酸增强递送提高经典猪瘟 ...

【材料】ACS AMI┃通过四面体框架核酸增强递送提高经典猪瘟病毒靶向siRNA 的抗病毒活性，免费查看详细内容。

#73. ACS Applied Materials & Interfaces2021年(2020年度)影响因子 ...

ACS Applied Materials & Interfaces 影响因子与历年IFoid ... 查询次数：23479. ACS Applied Materials & Interfaces 期刊简介与审稿周期 ...

#74. ACS Applied Materials & Interfaces杂志影响因子 - 晟斯医学

晟斯医学整理了ACS Applied Materials & Interfaces期刊影响因子数据，中科院JCR分区与学科排名数据，CiteScore学科排名数据，期刊的基础信息参数与简介，通过页面下方 ...

#75. ACS Applied Materials & Interfaces_百度百科

《ACS Applied Materials & Interfaces》是2009年American Chemical Society出版的期刊，刊期为Monthly，刊载方向为工程技术-材料科学：综合。 外文名: ACS Applied ...

#76. SMART AMI ACS Application - 2021 Synapse Life ... - YouTube

#77. 中南《ACS AMI》:抑制有害相变！Al−Zr共掺杂改性单晶正极材料

单晶LiNi0.6Co0.2Mn0.2O2正极材料因其高放电容量和良好的电化学性能而受到广泛关注，然而，单晶材料在高压下循环会发生严重的晶格畸变和电极/电解质 ...

#78. ACS Applied Materials & Interfaces - Labo - UPMC

ACS Applied Materials & Interfaces Naked-eye detection of biotoxin using gold-silver core-shell nanoparticles.

#79. 東南大學《ACS AMI》：一種雙鈣鈦礦型很有前途的防偽材料

東南大學《ACS AMI》：一種雙鈣鈦礦型很有前途的防偽材料. 2021年10月03日12:35 HKT. 對光學防偽技術日益增長的需求要求開發具有單組分、多模熒光和高穩定性的新型環保 ...

#80. New paper in ACS AMI | Mani Research Group

New paper in ACS AMI. Posted on August 20, 2020 by Mani, Tomoyasu · New paper is in ACS Appl. Mater. Interfaces. Congratulations Alex!

#81. ACS-AMI : Avis d'assurés et d'experts - International Santé

Qui est ACS-AMI ? ... ACS a été créé il y a plus de 40 ans pour proposer des garanties santé aux étudiants étrangers qui venaient étudier en France et aux ...

#82. ACS AMI 主编Kirk Schanze教授为我院师生作学术报告

2017年6月7日下午，ACS Applied Materials & Interfaces主编Kirk Schanze教授应邀在我校磬苑校区理工H楼报告厅作了题为《Applications of Conjugated ...

#83. 基於PμSL技術的微米級可拉伸電子一體化製造 - VITO雜誌

香港城大奈米制造實驗室《ACS AMI》: 基於PμSL技術的微米級可拉伸電子一體化製造. 2021-03-07 摩方精密 科學. 分享到：. 柔性可拉伸電子器件具有可彎曲、可拉伸和可 ...

#84. ACS Applied Materials and Interfaces - Open access journals

ACS AMI is also truly international, with the majority of published articles now coming from outside the United States, capturing the rapid growth in ...

#85. Anand Subramaniam's research highlighted on cover of ACS ...

Anand Subramaniam's research highlighted on cover of ACS AMI ... Professor Anand Subramaniam's research on synthetic biological membranes appears ...

#86. 急性冠症候群 - 循環器内科.com

急性冠症候群（Acute coronary syndrome: ACS）とは、冠動脈疾患のうち ... 具体的には、急性心筋梗塞（Acute myocardial infarction: AMI）と不安定 ...

#87. What is acute coronary syndrome (ACS), and what are the two ...

The term "acute coronary syndrome" (ACS) refers to a spectrum of conditions that occur due to acute myocardial ischemia and/or infarction as a result of an ...

#88. Paper published in ACS AMI! - Liu Research Group

Paper published in ACS AMI! by. on November 3, 2017. Haodong's paper on using lithium methyl carbonate to suppress lithium dendrites and enable stable ...

#89. SSC Slider 5 Hu ACS AMI 2016 – Buriak Research Group

⟵SSC Slider 5 Hu ACS AMI 2016. Search for: Full List · Patents · Book Chapters · Editorials · 2021 · 2020 · 2019 · 2018 · 2017 ...

#90. ACS Applied Materials & Interfaces主页，推荐审稿人 - 爱医科研

爱医科研整理了最新的ACS Applied Materials & Interfaces影响因子，ACS APPL MATER INTER期刊投稿经验，Impact Factor（IF），期刊官方投稿网址，审稿周期/时间， ...

#91. ACS App Mat Interfaces - Retraction Watch

According to the retraction notices, the two Applied Materials & Interfaces articles were “published without the full knowledge or consent of the principal ...

#92. Dasgupta's research featured on front cover of ACS Applied ...

Dasgupta's research featured on front cover of ACS Applied Materials & Interfaces. 02/28/2018. Biotemplated Morpho Butterfly Wings for Tunable Structurally ...

#93. Klassifikation von akuten Koronarsyndromen (ACS) und ...

Klassifikation, Diagnostik und Definition von akuten Koronarsyndromen (ACS) und akutem Myokardinfarkt (AMI) ... Ein akutes Koronarsyndrom tritt auf, wenn eine ...

#94. Acute Coronary Syndromes Algorithm - ACLS Training Center

In the presence of ACS, EMS or the Emergency Department will start with care and focus on obtaining a 12-lead ECG, aspirin administration, ...

#95. AMI 표지 논문 선정 '거의 모든 종류의 액체에 젖지 않는 ...

플렉서블한 표면위 초소유성 성질을 구현하여 다학제적 학술지인 ACS Applied Materials & Interfaces 표지 논문으로 선정.

#96. <i>ACS Applied Materials & Interfaces</i> (IMAGE) - EurekAlert!

<i>ACS Applied Materials & Interfaces</i> (IMAGE). DGIST (Daegu Gyeongbuk Institute of Science and Technology). <i>ACS Applied Materials & Interfaces</i> ...

#97. Income Limits | HUD USER

... a page containing a detailed account of how the final FY 2021 MFIs were developed using data from the 2012 American Community Survey (ACS) data.