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Criteria for Treatment of Hypercholesterolemia

Purpose: To use a modification to the National Cholesterol Education Program (NCEP II) criteria for cholesterol intervention which improves performance.

Description

A modification of the NCEP II treatment criteria for cholesterol reduction was made to give greater weight to age as a coronary heart disease risk factor. This modification improves the ability to discriminate between higher and lower coronary heart disease risk groups. The revised system retains its classification ability in all age groups studied.


 

Criterion

Finding

Assigned Points

age and sex

men

+1 for each decade over 35 years

 

women

+1 for each decade over 45 years

LDL cholesterol

>= 200 mg/dL

+1

HDL cholesterol

< 35 mg/dL

+1

 

> 60 mg/dL

-1

diabetes mellitus

present

+1

smoking

current cigarette smoking

+1

hypertension

blood pressure at least 140/90 mm Hg or if person taking antihypertensive medications

+1

 

where:

• "decades over" are: 35-44, 45-54, 55-64, 65-74, 75-84, 85-94, 95-104

 

Treatment of elevated cholesterol levels is indicated if:

(1) LDL cholesterol is >= 160 mg/dL

(2) number of assigned points >= 3

 


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Specialty

Objective

ICD-10