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Cholesterol Guidelines for People with High Risk of Heart Attack
Cholesterol and Heart Disease
- Less than 200 mg/dL (5.2 mmol/L)—desirable
- 200-239 mg/dL (5.2-6.1 mmol/L)—borderline high
- Over 239 mg/dL (6.1 mmol/L)—high
A Run-Down of the Guidelines
- High risk (over 20% chance of heart attack within ten years) including those with coronary heart disease (CHD) or those having a CHD risk equivalent—diabetes, peripheral arterial disease, abdominal aortic aneurysm, or carotid artery disease)
- Moderately high risk (10%-20% chance of heart attack within ten years)
- Moderate risk (less than 10% chance of heart attack within ten years, but still with two or more risk factors)
- Lower risk (a person with one or fewer risk factors)
|Risk Category||Drug Therapy Based on LDL levels|
|Moderately high risk||
- Eat a diet low in saturated fat and cholesterol
- Eat plenty of plant based foods to get the beneficial sterols and stanols that they contain.
- Increase soluble fiber in your diet (eg, whole grains, vegetables, fruits, nuts, and seeds)
- Maintaining a healthy weight
- Getting regular physical activity
- Atorvastatin (Lipitor)
- Lovastatin (Mevacor)
- Simvastatin (Zocor)
- Pravastatin (Pravachol)
- Rosuvastatin (Crestor)
American Heart Association http://www.americanheart.org/
National Heart, Lung and Blood Institute http://www.nhlbi.nih.gov/
Health Canada http://www.hc-sc.gc.ca/
Heart and Stroke Foundation of Canada http://www.heartandstroke.com/
Cardiovascular disease prevention overview. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/ . Updated September 9, 2012. Accessed September 19, 2012.
NCEP ATP III guidelines. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Accessed September 19, 2012.
Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults. National Heart, Lung, and Blood Institute. Available at http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3full.pdf . Accessed September 19, 2012.
Screening for lipid disorders in adults: U.S. Preventive Services Task Force recommendation statement. National Guidelines Clearinghouse website. Available at: http://www.guideline.gov/summary/summary.aspx?doc%5Fid=12634#s23 . Published June 2008. Accessed September 19, 2012.
Statins. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated September 3, 2012. Accessed September 19, 2012.
What your cholesterol levels mean. American Heart Association. Available at: http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/What-Your-Cholesterol-Levels-Mean%5FUCM%5F305562%5FArticle.jsp. Updated August 23, 2012. Accessed September 19, 2012.
- Reviewer: Brian Randall, MD
- Review Date: 10/2012
- Update Date: 10/30/2012