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Impact of the new National Cholesterol Education Program (NCEP) guidelines on patient management.
J Am Acad Nurse Pract 2003; 15(8):350-60JA

Abstract

PURPOSE

To update nurse practitioners (NPs) on the latest National Cholesterol Education Program (NCEP) guidelines for the management of high blood cholesterol in adults.

DATA SOURCES

The 2001 NCEP Adult Treatment Panel (ATP) III guidelines and supporting scientific reviews and reports of clinical trials related to the evidence upon which the guidelines are based.

CONCLUSIONS

The many new features of the ATP III guidelines include an increased emphasis on the patient with multiple risk factors in order to identify appropriate candidates for primary prevention and on more stringent classifications of elevated lipid/lipoprotein levels. However, elevated levels of low-density lipoprotein (LDL) cholesterol continue to be the focus for both primary and secondary prevention, and 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are clearly the drugs of choice for decreasing LDL cholesterol in most patients.

IMPLICATIONS FOR PRACTICE

Because NPs play key roles in optimizing treatment management, it is important that they become familiar with, and be prepared to help implement, these latest guidelines. By embracing the global risk assessment approach of ATP III and aggressively treating all at-risk patients, NPs can take a proactive role in helping to halt the progression of coronary heart disease and its consequences.

Authors+Show Affiliations

Clinical Diabetes Program, University of Southern California, Los Angeles, USA. momofmax@hotmail.comNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14509100

Citation

Harmel, Anne Peters, and Kathy Berra. "Impact of the New National Cholesterol Education Program (NCEP) Guidelines On Patient Management." Journal of the American Academy of Nurse Practitioners, vol. 15, no. 8, 2003, pp. 350-60.
Harmel AP, Berra K. Impact of the new National Cholesterol Education Program (NCEP) guidelines on patient management. J Am Acad Nurse Pract. 2003;15(8):350-60.
Harmel, A. P., & Berra, K. (2003). Impact of the new National Cholesterol Education Program (NCEP) guidelines on patient management. Journal of the American Academy of Nurse Practitioners, 15(8), pp. 350-60.
Harmel AP, Berra K. Impact of the New National Cholesterol Education Program (NCEP) Guidelines On Patient Management. J Am Acad Nurse Pract. 2003;15(8):350-60. PubMed PMID: 14509100.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of the new National Cholesterol Education Program (NCEP) guidelines on patient management. AU - Harmel,Anne Peters, AU - Berra,Kathy, PY - 2003/9/26/pubmed PY - 2003/10/24/medline PY - 2003/9/26/entrez SP - 350 EP - 60 JF - Journal of the American Academy of Nurse Practitioners JO - J Am Acad Nurse Pract VL - 15 IS - 8 N2 - PURPOSE: To update nurse practitioners (NPs) on the latest National Cholesterol Education Program (NCEP) guidelines for the management of high blood cholesterol in adults. DATA SOURCES: The 2001 NCEP Adult Treatment Panel (ATP) III guidelines and supporting scientific reviews and reports of clinical trials related to the evidence upon which the guidelines are based. CONCLUSIONS: The many new features of the ATP III guidelines include an increased emphasis on the patient with multiple risk factors in order to identify appropriate candidates for primary prevention and on more stringent classifications of elevated lipid/lipoprotein levels. However, elevated levels of low-density lipoprotein (LDL) cholesterol continue to be the focus for both primary and secondary prevention, and 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are clearly the drugs of choice for decreasing LDL cholesterol in most patients. IMPLICATIONS FOR PRACTICE: Because NPs play key roles in optimizing treatment management, it is important that they become familiar with, and be prepared to help implement, these latest guidelines. By embracing the global risk assessment approach of ATP III and aggressively treating all at-risk patients, NPs can take a proactive role in helping to halt the progression of coronary heart disease and its consequences. SN - 1041-2972 UR - https://www.unboundmedicine.com/medline/citation/14509100/Impact_of_the_new_National_Cholesterol_Education_Program__NCEP__guidelines_on_patient_management_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1041-2972&date=2003&volume=15&issue=8&spage=350 DB - PRIME DP - Unbound Medicine ER -