National Cholesterol Education Program ATP Ill Guidelines At-A-Glance Quick Desk Reference Step 1 Determine lipoprotein levels-obtain complete lipoprotein profile after 9- to 12-hour fast ATP Ill Classification of LDL, Total, and HDL Cholesterol (mg/dL) LDL Cholesterol-Primary Target of Therapy 100 100-129 Near optimal e optima 130-159 Borderline high 160-189 Desirable 200-239 Borderline higl 240 High HDL Cholesterol Step 2 Identify presence of clinical atherosclerotic disease that confers high risk for coronary heart disease(CHD)events(CHd risk equivalent) Clinical chD Symptomatic carotid artery disease Peripheral arterial disease Abdominal aortic aneurysm step 3 Determine presence of major risk factors (other than LDL) Major Risk Factors(Exclusive of LDL Cholesterol) That Modify LDL Goals Hypertension(BP 2140/90 mmHg or on antihypertensive medication) Low HDL cholesterol (<40 mg/dL) Family history of premature CHD( CHD in male first degree relative <55 years CHD in female first degree relative <65 years) HDL cholesterol 260 mg/dL counts as a"negative"risk factor; its presence removes one risk factor from the total count. Note: in ATP IlL, diabetes is regarded as a CHd risk equivalent N A L N T E S O F H E A L T H ATI。 N ALHEA RT丁 L UN G BLO O D N STTUT