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Record W4393253427 · doi:10.4103/jrms.jrms_318_23

First Iranian guidelines for the diagnosis, management, and treatment of hyperlipidemia in adults

2024· article· en· W4393253427 on OpenAlexaff
Fahimeh Bagheri Kholenjani, Shahla Shahidi, Golnaz Vaseghi, Vahid Ashoorion, Nizal Sarrafzadegan, Mansour Siavash, Maryam Heidarpour, Shahrzad Shahidi, Masoumeh Sadeghi, Noushin Mohammadifard, Masoumeh Jorjani, Majid Ghayour‐Mobarhan, Davood Shafie, Hossein Farshidi, Fariborz Khorvash, M Ghabaei, Zahra Teimouri-Jervekani, Mojgan Mortazavi, Valiollah Hajhashemi, Neda Roshanravan, Leila Yazdanpanah, Majid Davari, Behzad Fatemi, Elaheh Khorasani, Ramesh Hoseinkhani, Elaheh Zarean, Alireza Ahmadi, Maryam Eghbali‐Babadi, Ahmadreza Assareh, Mehdi Shadmani, Javad Kojuri, Farimah Shirani, Mojgan Sanjari, Fahimeh Haghighatdoost, Razieh Hassannejad, Elham Hashemi, Mohammad Hassan Moaddab, Alaleh Gheisari, Bahar Dehghan, Mitra Naseri, Nosrat Ghaemi, Fereidoun Noohi, Ali Akbar Haghdoost, Amin Salehi‐Abargouei, Sara Beigrezaie, Amin Doosti‐Irani, Nahid Ramezani‐Jolfaie, Bijan Eraj, Mahin Hashemipour, Ebrahim Nematipour, Mahmoud Rafieian‐Kopaei

Bibliographic record

VenueJournal of Research in Medical Sciences · 2024
Typearticle
Languageen
FieldMedicine
TopicLipoproteins and Cardiovascular Health
Canadian institutionsMcGill University Health CentreMcMaster UniversityImpact
Fundersnot available
KeywordsMedicineGuidelineEzetimibeHyperlipidemiaInternal medicinePharmacotherapyFibratePopulationAtorvastatinHypertriglyceridemiaStatinDiabetes mellitusPhysical therapyIntensive care medicineTriglycerideCholesterolEndocrinologyPathology

Abstract

fetched live from OpenAlex

This guideline is the first Iranian guideline developed for the diagnosis, management, and treatment of hyperlipidemia in adults. The members of the guideline developing group (GDG) selected 9 relevant clinical questions and provided recommendations or suggestions to answer them based on the latest scientific evidence. Recommendations include the low-density lipoprotein cholesterol (LDL-C) threshold for starting drug treatment in adults lacking comorbidities was determined to be over 190 mg/dL and the triglyceride (TG) threshold had to be >500 mg/dl. In addition to perform fasting lipid profile tests at the beginning and continuation of treatment, while it was suggested to perform cardiovascular diseases (CVDs) risk assessment using valid Iranian models. Some recommendations were also provided on lifestyle modification as the first therapeutic intervention. Statins were recommended as the first line of drug treatment to reduce LDL-C, and if its level was high despite the maximum allowed or maximum tolerated drug treatment, combined treatment with ezetimibe, proprotein convertase subtilisin/kexin type 9 inhibitors, or bile acid sequestrants was suggested. In adults with hypertriglyceridemia, pharmacotherapy with statin or fibrate was recommended. The target of drug therapy in adults with increased LDL-C without comorbidities and risk factors was considered an LDL-C level of <130 mg/dl, and in adults with increased TG without comorbidities and risk factors, TG levels of <200 mg/dl. In this guideline, specific recommendations and suggestions were provided for the subgroups of the general population, such as those with CVD, stroke, diabetes, chronic kidney disease, elderly, and women.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.931
Threshold uncertainty score0.476

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0140.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.238
GPT teacher head0.500
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designOther design
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2024
Admission routes1
Has abstractyes

Explore more

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