Bloodwork

Dyslipidemia

ICD-10 E78 · Disorders of lipoprotein metabolism and other lipidemias

План моніторингу

National Institute for Health and Care Excellence (NICE) (2024) · NICE NG238
Холестерин on or starting lipid-lowering treatment · baseline before statins, 2 to 3 months after starting or changing treatment, then annually “Measure liver transaminase and full lipid profile at 2 to 3 months after starting or changing lipid-lowering treatment. Offer an annual full lipid profile to inform discussions about secondary prevention of CVD.” — NG238 1.11.1, 1.11.9
Холестерин в ЛПВЩ CVD risk assessment · baseline, then annually “Measure both total blood cholesterol and high-density lipoprotein (HDL) cholesterol to achieve the best estimate of CVD risk.” — NG238 1.4.1
Аланінамінотрасфераза on statins · 2 to 3 months after starting, then at 12 months, then only if clinically indicated “Measure liver transaminase and full lipid profile at 2 to 3 months after starting or changing lipid-lowering treatment. Measure liver transaminase at 12 months, but not again unless clinically indicated.” — NG238 1.11.1, 1.11.2
Тригліцериди elevated result · repeat within 2 weeks if elevated and specialist assessment may be needed “Repeat testing within 2 weeks for elevated levels requiring specialist assessment.” — NG238 1.4.7

План моніторингу

European Society of Cardiology / European Atherosclerosis Society (2011) · ESC/EAS Guidelines for the management of dyslipidaemias
Холестерин у ЛПНЩ ціль <115 mg/dL moderate cardiovascular risk
Холестерин у ЛПНЩ ціль <100 mg/dL high cardiovascular risk
Холестерин у ЛПНЩ ціль <70 mg/dL very_high cardiovascular risk
Тригліцериди ціль <150 mg/dL desirable level

Джерела