Table 1.
TOPIC | GRADE CERTAINTY OF EVIDENCE |
---|---|
Screening and testing | |
• Lipid testing | High |
• CAC in cardiovascular risk assessment | Moderate |
• Lp(a) and apoB in cardiovascular risk assessment | High |
Interventions | |
• Physical activity | Low |
• Mediterranean diet | Moderate |
• Statins for primary prevention (CVD risk ≥20%) | High |
• Statins for primary prevention (CVD risk 10%-19%) | High |
• Non-statins for primary prevention | Moderate |
• Statins for secondary prevention | High |
• Non-statins for secondary prevention | High |
Considerations in patients older than 75 y | |
• Lipid testing for primary prevention | Moderate |
• Statins for primary prevention | Moderate |
• Statin initiation for secondary prevention | High |
• Statin continuation for secondary prevention | Moderate |
• Statins and cognition | Low |
Statin intolerance | |
• Statin intolerance (rechallenging) | High |
• Statin intolerance in primary prevention (other drugs) | Low |
• Statin intolerance in secondary prevention (other drugs) | Low |
Follow-up | |
• Lipid targets and repeat testing after lipid-lowering therapy | Not applicable |
• Baseline CK and ALT testing before lipid-lowering therapy | Not applicable |
ALT—alanine aminotransferase; apoB—apolipoprotein B; CAC—coronary artery calcium; CK—creatine kinase; CVD—cardiovascular disease; GRADE—Grading of Recommendations Assessment, Development and Evaluation; Lp(a)—lipoprotein a.