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HYPERLIPIDEMIA

Why Bother?. Optimum treatment of lipids helps in the primary

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HYPERLIPIDEMIA

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    1. HYPERLIPIDEMIA Brian V. Reamy, MD, Colonel, USAF, MC Chair – Department of Family Medicine Uniformed Services University

    2. Why Bother? Optimum treatment of lipids helps in the primary & secondary prevention of ASCVD; still our nation’s #1 killer

    3. Why Bother? ASCVD has been #1 cause of death every year since 1900 with exception of 1918. 50% of CVD diagnoses and 15% of CVD deaths are in patients < 65 years of age Many young adults have 2 or more risk factors that go unrecognized and untreated. HUGE opportunity to prevent disease!!

    4. NCEP/ATP III – 15 May 2001 www.nhlbi.nih.gov LDL goals lowered Raised acceptable HDL to 40 Lowered TG goal to 150 Risk Factor assessment enhanced with the 10-yr Framingham risk calculator Added the Metabolic Syndrome to Tx

    5. NCEP/ATP III – 9 Steps Step 1: Obtain, complete & fasting lipids. Interpret: LDL < 100mg/dl optimal LDL 100-129 near optimal LDL 130-159 borderline high LDL 160-189 high LDL >190 very high (mg/dl x 0.0259mmol/l = SI units)

    6. NCEP/ATP III Step 2: Identify if patient has CAD or equivalent (PAD, DM, AAA, Carotid) Step 3: Risk factor assessment (HTN, FHx, Tob, Age & Sex, HDL<40 or >60) Step 4: If 2 or more risk factors; do Framingham 10-yr risk assessment.

    7. Framingham Ten Year Risk

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