Nourishment

After a nutritional protocol has been established, it is easy to identify the "sins" and

to develop a modification of the lifestyle.

If sufficient nutritional change is not sufficient to reach the appropriate target
values (table), additional (combination) drug therapy is required.

If a vascular event has already occurred, the drug therapy must be initiated
immediately and maintained for a period of time (under regular control).

arget values of lipid therapy

CH = Cholesterol;
HDL = high-density Lipoprotein;
LDL = low-density Lipoprotein;
TG= Triglyceride;
Lp(a) = Lipoprotein(a);
  all limits (except CH/HDL) in mg/dl;
CH: 1 mmol/l = 38.7 mg/dl;
TG: 1 mmol/l = 88.6 mg/dl;

* non-HDL-Cholesterol (Cholesterol – HDL cholesterol) is easier and cheaper

to calculate than LDL cholesterol for risk assessment (assessment of a future
vascular event or death);

** the inclusion of Lp (a) for which a value of max. 30 mg / dl is the best way to
take into account the risk of increased Lp (a) for the therapy decision;

¹optimal: < 150; ²30 Rule (Difference between primary and secondary prevention)

In those patients (extremely rare cases) who are unable to achieve the appropriate

target values with a dietary and combined drug therapy, lipoproteinapheresis

(blood wash) is required.

This is usually done at weekly intervals at specialized centers, such as: at ATHOS.