Document Detail

Cardiac risk factors: new cholesterol and blood pressure management guidelines.
MedLine Citation:
PMID:  24936717     Owner:  NLM     Status:  In-Data-Review    
The 2013 American College of Cardiology/American Heart Association cholesterol guidelines depart from low-density lipoprotein (LDL) treatment targets and recommend treating four specific patient groups with statins. Statins are the only cholesterol-lowering drugs with randomized trial evidence of benefit for preventing atherosclerotic cardiovascular disease (ASCVD). The groups are patients with clinical ASCVD; patients ages 40 to 75 years with diabetes and LDL of 70 to 189 mg/dL but no clinical ASCVD; patients 21 years or older with LDL levels of 190 mg/dL or higher; and patients ages 40 to 75 years with LDL of 70 to 189 mg/dL without clinical ASCVD or diabetes but with 10-year ASCVD risk of 7.5% or higher. Ten-year ASCVD risk may be calculated using the Pooled Cohort Equations. The Eighth Joint National Committee (JNC 8) guidelines for blood pressure management recommend a blood pressure goal of less than 140/90 mm Hg for all adults except those 60 years or older. For the latter group, the JNC 8 recommends a systolic blood pressure goal of less than 150 mm Hg. In another notable change from prior guidelines, the JNC 8 recommends relaxing the systolic blood pressure goal for patients with diabetes and chronic kidney disease to less than 140 mm Hg from less than 130 mm Hg.
David Anthony; Paul George; Charles B Eaton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  FP essentials     Volume:  421     ISSN:  2159-3000     ISO Abbreviation:  FP Essent     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-06-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101578821     Medline TA:  FP Essent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  28-43     Citation Subset:  IM    
Copyright Information:
Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.
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