TABLE 5.
Examples of Extreme Discordance between LDL Levels and CV Risk
A: High LDL, Low CV Risk | B: Low LDL, High CV Risk | |
---|---|---|
Age | 45 | 68 |
Sex | Female | Male |
LDL | 175 | 95 |
HDL | 55 | 25 |
Triglycerides | 100 | 200 |
Systolic blood pressure | 120 | 145 |
Left ventricular hypertrophy by ECG | No | Yes |
Tobacco use | No | Yes |
5-year risk of CV event | 1.3% | 40.6% |
5-year risk of CV mortality | < 0.1% | 13.2% |
Note: Values in boldface indicate risk factors for CV events and mortality.
To illustrate the concept of risk stratification, this table compares the risks of two individuals. Despite having a high LDL, individual A has a 1.3 percent risk of a cardiovascular event in the next five years, and less than 0.1 percent risk of mortality due to such an event. But individual B has a 40.6 percent risk of a cardiovascular event in the next five years and a 13.2 percent risk of mortality from such an event.