Abstract
In patients with chronic renal disease, complex disorder of lipid metabolism (so called uremic hyperlipoproteinemia) is present, being characterized by increased level of triglycerides and changes in total cholesterol levels. Due to favorable results of interventional statin studies in general population regarding cardiovascular morbidity and mortality, a similar effect in populations with kidney disease was expected.
However, such effect was not confirmed in free large studies, perhaps since dominating risk factors cannot be influenced by statin treatment. A brief summary based on the current Kidney Disease: Improving Global Outcomes (KDIGO) recommendations regarding dyslipidemia treatment in patients with impaired renal fiction is presented.
It can be concluded that in patients with eGFR decreased below 60 ml / min should be treated with statins, or a combination of statin / ezetimibe, whereas in dialysis patients therapy should not be newly initiated but should be continued in patients treated before.