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Practical Approach to the Patient with Hyperlipidemia

  • Brian V. Reamy
Chapter

Introduction

The National Cholesterol Education Program/Adult Treatment Panel (NCEP/ATP) guidelines reviewed in Chapter 2 provide an excellent evidence- based foundation for the management of hyperlipidemia. Using a consistent stepwise approach leads to better patient outcomes. All portions of the lipid profile are important to consider when assessing risk of cardiovascular disease, but it is prudent to first focus on optimizing low density lipoprotein (LDL). Most studies have proven the significant benefits of reducing LDL. Triglycerides (TG) and high density lipoprotein (HDL) are important, but they are secondary targets of therapy. An important exception is the patient with triglycerides greater than 500 mg/dl. In these patients, triglycerides should be reduced first to lower the risk of pancreatitis. Also, unless the LDL is directly measured, a very high triglyceride level makes the measurement and interpretation of LDL cholesterol difficult.

Serum Testing Frequency and Patient...

Keywords

United States Preventive Service Task United States Preventive Service Therapeutic Lifestyle Change Motivational Tool Partial Ileal Bypass 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    US Preventive Services Task Force. The Guide to Clinical Preventive Services, 2005. AHRQ Pub. 05-0570, pp 67–70.Google Scholar
  2. 2.
    National Heart, Lung, and Blood Institute of the NIH. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). NIH Pub. 01-3670, May 2001.Google Scholar
  3. 3.
    VA/DoD Offices of Quality & Performance and Patient Care Services. VA/DoD Clinical Practice Guideline for the Diagnosis and Management of Dyslipidemia: Guideline Summary. 2006: http://www.oqp.med.va.gov/cpg/cpg.htm.

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Chair and Associate Professor, Department of Family MedicineUniformed Services University of the Health SciencesMaryland

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