Lipid Management in Adults

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Source: Institute for Clinical Systems Improvement (ICSI). Lipid management in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jun. 77 p. Lipid Management in Adults Patient has dyslipidemia or is at high risk for coronary heart disease (CHD). A A = Annotation Calculate 10-year risk for CHD or add up cardiac risk factors (See Appendix A). A 0-1 risk factor and 10-year CHD risk less than 10% *LDL goal less than 160. *Initiate lifestyle modification if LDL is greater than or equal to 160. *Consider drug therapy if LDL greater than or equal to 190 (optional if LDL 160-189). A 2 plus risk factors and 10-year CHD risk less than 10% *LDL goal less than 130. *Initiate lifestyle modification if LDL is greater than or equal to 130. *Consider drug therapy if LDL greater than or equal to 160. A 2 plus risk factors and 10-year CHD risk 10-20% *LDL goal less than 130. *Initiate lifestyle modification if LDL greater than or equal to 130. *Initiate drug therapy if LDL greater than or equal to 130. A CHD or CHD equivalent and/or 10-year risk greater than 20% *Initiate lifestyle modifications. A Management and treatment *Measure lipids at 6 weeks if drug therapy initiated. A Initiate statin therapy and establish LDL goals *LDL goal less than 100. *CHD goal consider less than 70. A Address adherence. A LDL goal met? A HDL greater than or equal to 40 and triglycerides less than 200? A Evaluation and management. A Laboratory monitoring in 3-12 months. A Adjunctive measures. A Health maintenance. A Follow-up. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.