Am Fam Physician. 2016 Jan 1;93(1):59.
For the primary and secondary prevention of cardiovascular disease (CVD), how should risk be assessed, and what should be done about elevated lipid levels?
The authors of this guideline give a more nuanced and less aggressive approach to lipid lowering than other groups. For the primary prevention of CVD, check blood pressure and lipids (nonfasting is fine) to calculate the 10-year CVD risk. If greater than 12%, treat; if 12% or less, discuss treatment with the patient. Pick a moderate-dose statin and do not check lipid levels again. For secondary prevention, use moderate-dose statins and titrate to a higher dose only in a few high-risk patients. Again, do not titrate based on lipid levels. (Level
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