Document Detail


New recommendations for the diagnosis and treatment of plasma lipid abnormalities.
MedLine Citation:
PMID:  8302497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Elevated total blood cholesterol levels (at or above 240 mg/dL) due to increased low density lipoprotein (LDL) cholesterol values (at or above 160 mg/dL) have been associated with an increased risk of coronary heart disease (CHD). It has been shown in controlled prospective studies that when LDL cholesterol is lowered with diet or diet and drug treatment, subsequent risk of CHD morbidity and, in some cases, mortality can be reduced. New guidelines have recently been released by the Adult Treatment Panel (ATP II) of the National Cholesterol Education Program (NCEP). Risk factors for CHD in addition to elevated LDL cholesterol now include: 1) male 45 years or older; 2) female 55 or older, or with premature menopause and not on estrogen replacement; 3) high density lipoprotein (HDL) cholesterol less than 35 mg/dL; 4) hypertension; 5) cigarette smoking; 6) diabetes mellitus; and 7) a family history of premature CHD. After screening with total cholesterol and HDL cholesterol measurements, patients with total cholesterol values at or above 200 mg/dL, HDL cholesterol below 35 mg/dL, and/or CHD should have a fasting cholesterol, triglyceride, and HDL cholesterol measurement. Candidates for diet therapy are those with LDL cholesterol values at or above 1) 160 mg/dL; 2) 130 mg/dL in the presence of two or more CHD risk factors; or 3) 100 mg/dL in the presence of CHD. Candidates for drug therapy after diet treatment are those with LDL cholesterol values at or above 1) 190 mg/dL; 2) 160 mg/dL in the presence of two or more CHD risk factors; or 3) 130 mg/dL in the presence of CHD.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
E J Schaefer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Nutrition reviews     Volume:  51     ISSN:  0029-6643     ISO Abbreviation:  Nutr. Rev.     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1994-03-04     Completed Date:  1994-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376405     Medline TA:  Nutr Rev     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  246-53     Citation Subset:  IM    
Affiliation:
Tufts University School of Medicine, Boston, MA 02111.
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MeSH Terms
Descriptor/Qualifier:
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Coronary Disease / etiology
Female
Humans
Hypercholesterolemia / blood,  complications,  diagnosis*,  diet therapy,  drug therapy,  therapy*
Male
Middle Aged
Prospective Studies
Risk Factors
Chemical
Reg. No./Substance:
0/Cholesterol, HDL; 0/Cholesterol, LDL

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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