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. 2018 Aug;31(3):234–245. doi: 10.2337/ds18-0009

TABLE 2.

AACE/ACE ASCVD Risk Categories and LDL Cholesterol Treatment Goals

Risk Category Risk Factors/10-Year Risk Treatment Goals
LDL Cholesterol (mg/dL) Non-HDL Cholesterol (mg/dL) Apo B (mg/dL)
Extreme risk • Progressive ASCVD, including unstable angina in individuals after achieving an LDL cholesterol <70 mg/dL
• Established clinical CVD in individuals with diabetes, stage 3 or 4 CKD, or HeFH
• History of premature ASCVD (age <55 years male, <65 years female)
<55 <80 <70
Very high risk • Established or recent hospitalization for ACS or coronary, carotid, or peripheral vascular disease; 10-year risk >20%
• Diabetes or stage 3 or 4 CKD with one or more risk factor
• HeFH
<70 <100 <80
High risk • Two or more risk factors and 10-year risk 10–20%
• Diabetes or stage 3 or 4 CKD with no other risk factors
<100 <130 <90
Moderate risk Two or fewer risk factors and 10-year risk <10% <100 <130 <90
Low risk Zero risk factors <130 <160 NR

NR, not recommended.