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. 2019 Aug 7;8(2):78–131. doi: 10.12997/jla.2019.8.2.78

Table 3. Treatment according to risk and LDL-C concentration.

Risk LDL-C, mg/dL
<70 70–99 100–129 130–159 160–189 ≥190
Very high-risk group* Lifestyle modification and consider drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy
Coronary artery disease
Atherosclerotic ischemic stroke and transient ischemic attack
Peripheral artery disease
High-risk group Lifestyle modification Lifestyle modification and consider drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy
Carotid artery disease
Abdominal aneurysm
Diabetes
Moderate-risk group§ Lifestyle modification Lifestyle modification Lifestyle modification and consider drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy
Two or more major risk factors
Low-risk group§ Lifestyle modification Lifestyle modification Lifestyle modification Lifestyle modification and consider drug therapy Lifestyle modification and begin drug therapy Lifestyle modification and begin drug therapy
One or fewer major risk factors

LDL-C, low density lipoprotein cholesterol.

*In case of acute myocardial infarction, begin statin therapy immediately regardless of the baseline LDL-C. Statin therapy may be considered for very high-risk group other than acute myocardial infarction even if LDL-C is <70 mg/dL.

In case of significant stenosis of the carotid artery

Level of risk may be raised depending on the patient if patient has target organ damage or major cardiovascular disease risk factor.

§For moderate-risk and low-risk groups, statin therapy is considered when high LDL-C persists even after weeks or months of lifestyle modification.