TABLE 5.
Lipid intervention targets and management recommendations.
Recommendation | Recommended classification | Evidence level |
---|---|---|
LDL-C as a primary target for ASCVD risk intervention (Cholesterol Treatment Trialists Collaboration, 2015; Silverman et al., 2016; Navarese et al., 2018) | Ⅰ | A |
Non-HDL-C as a target for ASCVD risk intervention in patients with diabetes, metabolic syndrome, high TG, and VLDL-C (Boekholdt et al., 2012; Thanassoulis et al., 2014) | Ⅰ | B |
ApoB as a secondary target for ASCVD risk intervention in patients with diabetes, metabolic syndrome, high TG, and VLDL-C (Boekholdt et al., 2012; Thanassoulis et al., 2014) | Ⅱa | C |
High TG as an indicator for management of patients at high risk of ASCVD after LDL-C reaching the target (Keech et al., 2005; Jun et al., 2010; Bhatt et al., 2019) | Ⅱa | B |
High Lp(a) as an indicator for the management of patients at high risk of ASCVD (Emerging Risk Factors Collaboration, 2009; Willeit et al., 2014) | Ⅱa | C |
HDL-C is not recommended as a target for intervention | Ⅲ | A |
LDL-C: low-density lipoprotein cholesterol; ASCVD: atherosclerotic cardiovascular disease; HDL-C: high-density lipoprotein cholesterol; ApoB: apolipoprotein B; TG: triglycerides; Lp(a): lipoprotein(a).