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HYPERLIPIDEMIA
Prepared by
Ms. Shivanee Vyas
Assistant Professor
Hyperlipidemia is abnormally elevated levels of any
or all lipids (fats, cholesterol, or triglycerides) or
lipoproteins in the blood.
Hyperlipidemias may basically be classified as
either familial (also called primary) caused by
specific genetic abnormalities, or acquired (also
called secondary) when resulting from another
underlying disorder that leads to alterations in
plasma lipid and lipoprotein metabolism.
Hyperlipidemias are also classified according to
which types of lipids are elevated, that is
hypercholesterolemia, hypertriglyceridemia, or both
in combined hyperlipidemia.
HYPERLIPIDEMIA
1. Hypercholesterolemia: Increased serum level of total cholesterol (TC), Low-
density lipoprotein (LDL), and low-density lipoprotein-cholesterol (LDL-C).
2. Hypertriglyceridemia: Increased serum level of very-low-density lipoproteins
(VLDL) and triglycerides (TG).
3. Combined hyperlipidemia: Increased TC, LDL, VLDL, LDL-C, and TG.
A picture is worth a
thousand words
Etiopathogenesis of Hyperlipidemia
Hyperlipidemia can be due to primary and secondary causes. Primary causes
include familial hypercholesterolemia which is a genetic disorder.
Secondary hyperlipidemia causes include:
 Smoking.
 Drinking a lot of alcohol.
 Eating foods that have a lot of saturated fats or trans fats.
 Sitting too much instead of being active.
 Being stressed.
 Being overweight.
 Hypothyroidism
Clinical Manifestation
• Most people don't have symptoms
when their cholesterol is high.
• People who have a genetic problem
with cholesterol clearance that causes
very high cholesterol levels may get
xanthomas (waxy, fatty plaques on the
skin) or corneal arcus (cholesterol
rings around the iris of the eye).
Cholesterol levels guideline
Low Borderline High
Total Less than
200mg/dL
200 – 239 mg/dL
More than 240
mg/dL
LDL Less than 130
mg/dL
130 – 159 mg/dL
160 and higher
mg/dL
HDL Less than 40
mg/dL
40 – 49 mg/dL
Less than 40
mg/dL
Triglycerides Less than 200
mg/dL
200 – 399 mg/dL 400 and higher
mg/dL
Whoa!
This can be the part of the
presentation where you
introduce yourself, write your
email…
TREATMENT
• Non-Pharmacological Treatment
1. Quitting smoking, lowering intake of saturated fat and alcohol, losing excess body weight, and
eating a low-salt diet that emphasizes fruits, vegetables, and whole grains can help reduce blood
cholesterol.
• Pharmacological Treatment
1. HMG-CoA reductase inhibitors: such as lovastatin, atorvastatin, fluvastatin, pravastatin,
simvastatin, rosuvastatin, and pitavastatin, inhibit the synthesis of mevalonate, a precursor
molecule to cholesterol.
2. Fibric acid derivatives: such as gemfibrozil and fenofibrate. They decrease VLDL - very low-
density lipoprotein - and LDL in some people.
3. Niacin: Niacin or vitamin B3 has been shown to decrease LDL cholesterol and triglycerides, and
increase HDL cholesterol.
4. Bile acid binding resins: Bile acid binding resins, such as colestipol, cholestyramine, and
colesevelam, function by binding bile acids, increasing their excretion. They are useful for
decreasing LDL cholesterol.
5. Sterol absorption inhibitors: such as ezetimibe, function by decreasing the absorption of
cholesterol in the Gl tract by targeting NPC1L1, a transport protein in the gastrointestinal wall.
CREDITS: This presentation template was
created by Slidesgo, including icons by Flaticon
and infographics & images by Freepik
Thanks!
Do you have any questions?
shivaneevyas8@gmail.com
https://www.linkedin.com/in/shivanee-
vyas-56502582
Please keep this slide for attribution

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Hyperlipidemia.pptx

  • 1. HYPERLIPIDEMIA Prepared by Ms. Shivanee Vyas Assistant Professor
  • 2. Hyperlipidemia is abnormally elevated levels of any or all lipids (fats, cholesterol, or triglycerides) or lipoproteins in the blood. Hyperlipidemias may basically be classified as either familial (also called primary) caused by specific genetic abnormalities, or acquired (also called secondary) when resulting from another underlying disorder that leads to alterations in plasma lipid and lipoprotein metabolism. Hyperlipidemias are also classified according to which types of lipids are elevated, that is hypercholesterolemia, hypertriglyceridemia, or both in combined hyperlipidemia. HYPERLIPIDEMIA
  • 3. 1. Hypercholesterolemia: Increased serum level of total cholesterol (TC), Low- density lipoprotein (LDL), and low-density lipoprotein-cholesterol (LDL-C). 2. Hypertriglyceridemia: Increased serum level of very-low-density lipoproteins (VLDL) and triglycerides (TG). 3. Combined hyperlipidemia: Increased TC, LDL, VLDL, LDL-C, and TG.
  • 4. A picture is worth a thousand words
  • 5. Etiopathogenesis of Hyperlipidemia Hyperlipidemia can be due to primary and secondary causes. Primary causes include familial hypercholesterolemia which is a genetic disorder. Secondary hyperlipidemia causes include:  Smoking.  Drinking a lot of alcohol.  Eating foods that have a lot of saturated fats or trans fats.  Sitting too much instead of being active.  Being stressed.  Being overweight.  Hypothyroidism
  • 6. Clinical Manifestation • Most people don't have symptoms when their cholesterol is high. • People who have a genetic problem with cholesterol clearance that causes very high cholesterol levels may get xanthomas (waxy, fatty plaques on the skin) or corneal arcus (cholesterol rings around the iris of the eye).
  • 7. Cholesterol levels guideline Low Borderline High Total Less than 200mg/dL 200 – 239 mg/dL More than 240 mg/dL LDL Less than 130 mg/dL 130 – 159 mg/dL 160 and higher mg/dL HDL Less than 40 mg/dL 40 – 49 mg/dL Less than 40 mg/dL Triglycerides Less than 200 mg/dL 200 – 399 mg/dL 400 and higher mg/dL
  • 8. Whoa! This can be the part of the presentation where you introduce yourself, write your email… TREATMENT
  • 9. • Non-Pharmacological Treatment 1. Quitting smoking, lowering intake of saturated fat and alcohol, losing excess body weight, and eating a low-salt diet that emphasizes fruits, vegetables, and whole grains can help reduce blood cholesterol. • Pharmacological Treatment 1. HMG-CoA reductase inhibitors: such as lovastatin, atorvastatin, fluvastatin, pravastatin, simvastatin, rosuvastatin, and pitavastatin, inhibit the synthesis of mevalonate, a precursor molecule to cholesterol. 2. Fibric acid derivatives: such as gemfibrozil and fenofibrate. They decrease VLDL - very low- density lipoprotein - and LDL in some people. 3. Niacin: Niacin or vitamin B3 has been shown to decrease LDL cholesterol and triglycerides, and increase HDL cholesterol. 4. Bile acid binding resins: Bile acid binding resins, such as colestipol, cholestyramine, and colesevelam, function by binding bile acids, increasing their excretion. They are useful for decreasing LDL cholesterol. 5. Sterol absorption inhibitors: such as ezetimibe, function by decreasing the absorption of cholesterol in the Gl tract by targeting NPC1L1, a transport protein in the gastrointestinal wall.
  • 10. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon and infographics & images by Freepik Thanks! Do you have any questions? shivaneevyas8@gmail.com https://www.linkedin.com/in/shivanee- vyas-56502582 Please keep this slide for attribution