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Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. The Expert Panel.

Abstract

This report of an expert panel of the National Cholesterol Education Program provides new guidelines for the treatment of high blood cholesterol in adults 20 years of age and over. Total cholesterol levels are classified as follows: less than 200 mg/dL--"desirable blood cholesterol"; 200 to 239 mg/dL--borderline-high blood cholesterol; greater than or equal to 240 mg/dL--high blood cholesterol. The guidelines detail which patients should go on to have lipoprotein analysis, and which should receive cholesterol-lowering treatment on the basis of their low density lipoprotein (LDL)-cholesterol levels and status with respect to other coronary heart disease risk factors. Dietary therapy is the primary cholesterol-lowering treatment. The report specifies the LDL-cholesterol levels at which dietary therapy should be started and the goals of therapy, and provides detailed guidance on the nature of the recommended dietary changes. If, after six months of intensive dietary therapy, LDL-cholesterol exceeds specified levels, drug treatment should be considered.

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  • Publisher Full Text
  • Source

    Archives of internal medicine 148:1 1988 Jan pg 36-69

    MeSH

    Adult
    Aged
    Cholesterol
    Cholesterol, LDL
    Cholestyramine Resin
    Colestipol
    Coronary Disease
    Dietary Fats
    Female
    Gemfibrozil
    Humans
    Hydroxymethylglutaryl CoA Reductases
    Hypercholesterolemia
    Male
    Middle Aged
    Niacin
    Patient Compliance
    Pentanoic Acids
    Probucol
    Risk Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    3422148

    Citation

    "Report of the National Cholesterol Education Program Expert Panel On Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. the Expert Panel." Archives of Internal Medicine, vol. 148, no. 1, 1988, pp. 36-69.
    Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. The Expert Panel. Arch Intern Med. 1988;148(1):36-69.
    (1988). Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. The Expert Panel. Archives of Internal Medicine, 148(1), pp. 36-69.
    Report of the National Cholesterol Education Program Expert Panel On Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. the Expert Panel. Arch Intern Med. 1988;148(1):36-69. PubMed PMID: 3422148.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. The Expert Panel. PY - 1988/1/1/pubmed PY - 1988/1/1/medline PY - 1988/1/1/entrez SP - 36 EP - 69 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 148 IS - 1 N2 - This report of an expert panel of the National Cholesterol Education Program provides new guidelines for the treatment of high blood cholesterol in adults 20 years of age and over. Total cholesterol levels are classified as follows: less than 200 mg/dL--"desirable blood cholesterol"; 200 to 239 mg/dL--borderline-high blood cholesterol; greater than or equal to 240 mg/dL--high blood cholesterol. The guidelines detail which patients should go on to have lipoprotein analysis, and which should receive cholesterol-lowering treatment on the basis of their low density lipoprotein (LDL)-cholesterol levels and status with respect to other coronary heart disease risk factors. Dietary therapy is the primary cholesterol-lowering treatment. The report specifies the LDL-cholesterol levels at which dietary therapy should be started and the goals of therapy, and provides detailed guidance on the nature of the recommended dietary changes. If, after six months of intensive dietary therapy, LDL-cholesterol exceeds specified levels, drug treatment should be considered. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/3422148/Report_of_the_National_Cholesterol_Education_Program_Expert_Panel_on_Detection_Evaluation_and_Treatment_of_High_Blood_Cholesterol_in_Adults__The_Expert_Panel_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/148/pg/36 DB - PRIME DP - Unbound Medicine ER -