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This clinical practice guideline from the American Heart Association (AHA) aims to give healthcare providers consistent, clear, and evidence-based guidance for treating patients at risk for atherosclerotic cardiovascular disease (ASCVD)

AHA cholesterol management guideline for healthcare practitioners

en

American Heart Association (AHA), 2018

This clinical practice guideline from the American Heart Association (AHA) aims to give healthcare
providers consistent, clear, and evidence-based guidance for treating patients at risk for atherosclerotic
cardiovascular disease (ASCVD).

The guidance covers risk assessment, primary and secondary prevention of ASCVD, lifestyle
interventions, statin therapy, and non-statin alternatives and adjuncts. It also includes printable tools to help:

  • Assess patients’ risk for ASCVD and the use of tools such as the ASCVD risk calculator
  • Understand when and how to prescribe and manage statins and non-statin therapies
  • Discuss a patient’s ASCVD risks as well as options for treatment
  • Overcome common barriers to treatment

The authors highlight that, for primary prevention of ASCVD, fasting and non-fasting total cholesterol and HDL-C levels have similar prognostic value and associations with CVD outcomes. Therefore, recommendations are to measure either a fasting or a non-fasting plasma lipid profile to estimate ASCVD risk and document baseline LDL-C in adults who are 20 years or older and not on lipid-lowering therapy. Point-of-care lipid testing (and screening), as a result, can be used in place of traditional fasting laboratory lipid tests, where there is potential clinical benefit.

The guidelines can be accessed here.

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