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International Primary Care Association

Clinical Focus Primary Care

Measurement of lipids is regularly performed in General Practice, most commonly as part of a cardiovascular risk assessment. Hypercholesterolaemia increases the risk of cardiovascular disease and hypertriglyceridaemia is associated with metabolic syndrome and pancreatitis. The majority of hyperlipidaemia is successfully managed by General Practitioners, however, some cases (including monogenic hyperlipidaemia, marked hypertriglyceridaemia and treatment intolerance) may require specialist input. The expansion of dedicated lipid services in secondary care and the licensing of monoclonal antibody therapy for hypercholesterolaemia heralds an exciting new period in lipid management. Lipidologists (who often have a Chemical Pathology background) provide an important interface between the laboratory and General Practice. This article aims to provide hints and tips for interpreting a lipid profile in General Practice, and also gives guidance on identification, management and referral of individuals with hyperlipidaemia.


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International Primary Care Association
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