Hyperlipidemia Chart
| Optimal Level | Near Optimal Level | Borderline High | Abnormal Level |
|---|---|---|---|
| LDL <100 LDL <70 for post MI | LDL 100-129 | LDL 130-159 | LDL160-189 |
| Total Cholesterol <200 | Total Cholesterol 130-159 | Total Cholesterol 240 or > | |
| Triglycerides <150 | Triglycerides 150-199 | Triglycerides 200-499 > 500 Very high |
|
| HDL >60mg/dl *want the HDL to be high | HDL <40mg/dl |
Cholesterol: comes from diet, liver (where it is synthesized in body), and genetics
Factors for Hyperlipidemia:
- High fat intake, obesity, Type 2 DM
- Increased age, genetics
- Hypothyroidism, obstructive liver disease
- Drug induced: glucocorticoids, thiazides, diuretics, B-Blockers, protease inhibitors, sirolimus, cyclosporine, progestin, alcohol
LDL: high concentrations are associated with ↑risk of atherosclerotic disease.
Triglycerides: High concentrations are associated with ↑ risk of CAD
HDL: low concentrations are associated with coronary artery disease
TC = LDL + Trig/5 + HDL
Want the LDL LOW and HDL HIGH
All adults 20 years or older should be screened every 5 years or more often if family history of premature cardiovascular disease
RISK FACTORS FOR HYPERLIPIDEMIA:
- High fat intake, Obesity, Type 2 DM, Advanced age, Hypothyroidism, Obstructive liver disease, genetics
- DRUG INDUCED: glucocorticoids, THIAZIDES, DIURETICS, BETA BLOCKERS, protease inhibitors, sirolimus, cyclosporine, progestines, ALCOHOL