Lipid Profiling
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7/30/2019 Lipid Profiling http://slidepdf.com/reader/full/lipid-profiling 1/2 LIPID PROFILE The lipid profile is a group of tests that are often ordered together to determine risk of coronary heart disease. They are tests that have been shown to be good indicators of whether someone is likely to have a heart attack or stroke caused by blockage of blood vessels or hardening of the arteries (atherosclerois). The lipid profile typically includes: • Total cholesterol • High density lipoprotein cholesterol (HDL-C) — often called good cholesterol • Low density lipoprotein cholesterol (LDL-C) —often called bad cholesterol • Triglycerides An extended profile may also include: • Very low density lipoprotein cholesterol (VLDL-C) • Non-HDL-C Sometimes the report will include additional calculated values such as the Cholesterol/HDL ratio or a risk score based on lipid profile results, age, sex, and other risk factors. Talk to your doctor about what these other reported values may mean for you. A blood sample is obtained by inserting a needle into a vein in the arm. Sometimes a drop of blood is collected by puncturing the skin on a fingertip. This fingerstick sample is typically used when a lipid profile is being measured on a portable testing device, for example, at a health fair. You need to fast for 9-12 hours before having your blood drawn; only water is permitted. The lipid profile is used to help determine your risk of heart disease and to help guide you and your health care provider in deciding what treatment may be best for you if you have borderline or high risk. The results of the lipid profile are considered along with other known risk factors of heart disease to develop a plan of treatment and follow-up. Depending on your results and other risk factors, treatment options may involve life-style changes such as diet and exercise or lipid-lowering medications such as statins. Risk factors include: • Cigarette smoking • Age (if you are a male 45 years or older or a female 55 years or older) • Low HDL cholesterol (less than 40 mg/dL (1.04 mmol/L)) • Hypertension (Blood Pressure of 140/90 or higher or taking high blood pressure medications) • Family history of premature heart disease (heart disease in a first degree male relative under age 55 or a first degree female relative under age 65) • Diabetes 1
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Transcript of Lipid Profiling
7302019 Lipid Profiling
httpslidepdfcomreaderfulllipid-profiling 12
LIPID PROFILE
The lipid profile is a group of tests that are often ordered together to determine risk of
coronary heart disease They are tests that have been shown to be good indicators of whether
someone is likely to have a heart attack or stroke caused by blockage of blood vessels or
hardening of the arteries (atherosclerois) The lipid profile typically includes
bull Total cholesterol
bull High density lipoprotein cholesterol (HDL-C) mdash often called good cholesterol
bull Low density lipoprotein cholesterol (LDL-C) mdashoften called bad cholesterol
bull Triglycerides
An extended profile may also include
bull Very low density lipoprotein cholesterol (VLDL-C)bull Non-HDL-C
Sometimes the report will include additional calculated values such as the CholesterolHDL
ratio or a risk score based on lipid profile results age sex and other risk factors Talk to your
doctor about what these other reported values may mean for you
A blood sample is obtained by inserting a needle into a vein in the armSometimes a drop of blood is collected by puncturing the skin on a fingertip Thisfingerstick sample is typically used when a lipid profile is being measured on aportable testing device for example at a health fair You need to fast for 9-12
hours before having your blood drawn only water is permitted
The lipid profile is used to help determine your risk of heart disease and to helpguide you and your health care provider in deciding what treatment may be bestfor you if you have borderline or high risk The results of the lipid profile areconsidered along with other known risk factors of heart disease to develop a planof treatment and follow-up Depending on your results and other risk factorstreatment options may involve life-style changes such as diet and exercise orlipid-lowering medications such as statins
Risk factors include
bull Cigarette smoking
bull Age (if you are a male 45 years or older or a female 55 years or older)
bull Low HDL cholesterol (less than 40 mgdL (104 mmolL))
bull Hypertension (Blood Pressure of 14090 or higher or taking high blood pressure
medications)
bull Family history of premature heart disease (heart disease in a first degree male relative
under age 55 or a first degree female relative under age 65)
bull
Diabetes
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7302019 Lipid Profiling
httpslidepdfcomreaderfulllipid-profiling 22
bull LDL Cholesterol
Optimal Less than 100 mgdL (259 mmolL)
Nearabove optimal 100-129 mgdL (259-334 mmolL)
Borderline high 130-159 mgdL (337-412 mmolL)
High 160-189 mgdL (415-490 mmolL)
Very high Greater than 190 mgdL (490 mmolL)
bull Total Cholesterol
Desirable Less than 200 mgdL (518 mmolL)
Borderline high 200-239 mgdL (518 to 618 mmolL)
High 240 mgdL (622 mmolL) or higher
bull HDL Cholesterol
Low level increased risk Less than 40 mgdL (10 mmolL) for men and less than 50
mgdL (13 mmolL) for women
Average level average risk 40-50 mgdL (10-13 mmolL) for men and between 50-
59 mgdl (13-15 mmolL) for women
High level less than average risk 60 mgdL (155 mmolL) or higher for both men
and women
bull Fasting Triglycerides
Desirable Less than 150 mgdL (170 mmolL)
Borderline high 150-199 mgdL(17-22 mmolL)
High 200-499 mgdL (23-56 mmolL)
Very high Greater than 500 mgdL (56 mmolL)
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7302019 Lipid Profiling
httpslidepdfcomreaderfulllipid-profiling 22
bull LDL Cholesterol
Optimal Less than 100 mgdL (259 mmolL)
Nearabove optimal 100-129 mgdL (259-334 mmolL)
Borderline high 130-159 mgdL (337-412 mmolL)
High 160-189 mgdL (415-490 mmolL)
Very high Greater than 190 mgdL (490 mmolL)
bull Total Cholesterol
Desirable Less than 200 mgdL (518 mmolL)
Borderline high 200-239 mgdL (518 to 618 mmolL)
High 240 mgdL (622 mmolL) or higher
bull HDL Cholesterol
Low level increased risk Less than 40 mgdL (10 mmolL) for men and less than 50
mgdL (13 mmolL) for women
Average level average risk 40-50 mgdL (10-13 mmolL) for men and between 50-
59 mgdl (13-15 mmolL) for women
High level less than average risk 60 mgdL (155 mmolL) or higher for both men
and women
bull Fasting Triglycerides
Desirable Less than 150 mgdL (170 mmolL)
Borderline high 150-199 mgdL(17-22 mmolL)
High 200-499 mgdL (23-56 mmolL)
Very high Greater than 500 mgdL (56 mmolL)
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