Dyslipidemia in Renal Transplant Recipients
نویسندگان
چکیده
Dyslipidemia is a frequent complication after kidney transplantation (KT) and an important risk factor for cardiovascular disease (CVD). Renal transplant recipients (RTRs) are considered at high, or very of CVD, which leading cause death in this patient group. Despite many factors post-transplant dyslipidemia, the immunosuppressive treatment has biggest influence on lipid profile. There no strict dyslipidemia guidelines RTRs, but ones proposing individual approach regarding CVD seem most suitable. Proper diet physical activity main general measures to manage should be introduced initially every KT. In case insufficient correction lipemia, statins basis hypolipidemic treatment. Statins with caution avoid serious side-effects (e.g., myopathy) drug-drug interactions, especially immunosuppressants. To lower incidence adverse effects, improve medication adherence, ezetimibe combination recommended. Fibrates bile sequestrants not recommended due their variable efficacy. However, several new lipid-lowering drugs like Proprotein convertase subtilisin/Kexin type9 (PCSK9) inhibitors may have promising effects further research assessing efficacy safety yet carried out.
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ژورنال
عنوان ژورنال: Transplantology
سال: 2022
ISSN: ['2673-3943']
DOI: https://doi.org/10.3390/transplantology3020020