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.