Diagnostics

Screening for lipid disorders

• Indications

  • All individuals 40–75 years of age [12][13]

  • Patients with a family history of familial hypercholesterolemia or premature ASCVD: Consider earlier screening.

• Tests

  • Adequate in most cases: nonfasting lipid profiles

  • Nonfasting triglycerides > 400 mg/dL or if evaluating for familial lipid disorders: fasting lipid profile

Assess ASCVD risk to guide treatment decisions, e.g., via the 2013 ACC/AHA pooled cohort equation

Indications

• Adults 20–39 years of age with hyperlipidemia

• Consider in adults of any age with LDL > 190 mg/dL

Tests include:

• Fasting blood glucose or HbA1c

• TSH

• Liver function tests

• Urine analysis and serum creatinine