Table 3. Treatment guidelines for hyperlipidemia based on CAD risk factors and LDL levels

 

RISK GROUP

TARGET LDL

CONSIDER DRUG THERAPY

High Risk: CHD1 or CHD equivelent2

<100 mg/dL with <70 mg/dL optional

≥100mg/dL with<100 mg/dL optional

Moderate risk: 2 or more CHD risk factors

<130 mg/dL

≥160 mg/dL

Low Risk: 0-1 CHD risk factors

<160 mg/dL

≥190 mg/dL with 160-189 mg/dL optional

 

1CHD = Angina, Untable Angina, NSTEMI, STEMI

2CHD equivalents = DM II, peripheral arterial disease, carotid artery disease (TIA, stroke, or >50% stenosis), AAA

 

Grundy SM, Cleeman JI, Mertz CN, Brewer HB, Clark LT, Hunninghake DB, Pasternak RC, Smith SC, Stone NJ. Implications of

recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 2004;110:227–239.