What were the changes in the 2013 AHA ACC guidelines?
Instead of setting specific LDL-C targets, the 2013 ACC/AHA Guideline essentially suggested a fixed dose (or intensity) of statin for each risk category, with intended LDL-C reductions of 30–49% and ≥50% for moderate and high intensity statins, respectively.
What are the current cholesterol guidelines?
How do I know what’s happening in my body?
| Desirable Cholesterol Levels | |
|---|---|
| Total cholesterol | Less than 170 mg/dL |
| Low LDL (“bad”) cholesterol | Less than 110 mg/dL |
| High HDL (“good”) cholesterol | 35 mg/dL or higher |
| Triglycerides | Less than 150 mg/dL |
What are the new guidelines for LDL cholesterol?
The optimal guideline level of LDL cholesterol is less than 100 mg/dl. Research from the Cleveland Clinic (REVERSAL study) compared two cholesterol lowering drugs (pravastatin and atorvastatin) and found that lower levels of LDL, as low as 60 mg/dl had better outcomes.
What are moderate intensity statins?
Moderate-Intensity Statins. • Atorvastatin 10–20 mg. • Rosuvastatin 5–10 mg. • Simvastatin 20–40 mg. • Pravastatin 40–80 mg.
Was the juice worth the squeeze Understanding the New 2018 AHA ACC cholesterol guideline?
In the case of the updated cholesterol guidelines, we do believe the juice was worth the squeeze. Start with guideline-directed statin intensity and increase up to maximally tolerated statin dosing if not achieving expected LDL-C reduction goal (≥50% for high-intensity, 30-50% moderate intensity).
What should a 69 year old woman’s cholesterol be?
In general, healthy cholesterol levels for seniors are total cholesterol of below 200 mg/dl, including an LDL cholesterol level less than 100 mg/dl, and an HDL cholesterol level greater than 40 mg/dl for men or 50 mg/dl for women.
What is 10 year Ascvd risk?
It is a calculation of your 10-year risk of having a cardiovascular problem, such as a heart attack or stroke. This risk estimate considers age, sex, race, cholesterol levels, blood pressure, medication use, diabetic status, and smoking status.
What is the best moderate intensity statin?
High-, Moderate-, and Low-Intensity Statin Therapy (Used in the RCTs Reviewed by the Expert Panel)*
| High intensity | Moderate intensity |
|---|---|
| Atorvastatin (Lipitor), 40† to 80 mg | Atorvastatin, 10 (20) mg |
| Rosuvastatin (Crestor), 20 (40) mg | Rosuvastatin, (5) 10 mg |
| Simvastatin (Zocor), 20 to 40 mg‡ | |
| Pravastatin (Pravachol), 40 (80) mg |
Is atorvastatin 40mg high intensity?
— High-intensity statin therapies are atorvastatin (40–80 mg) or rosuvastatin (Crestor; 20–40 mg). Moderate-intensity statin therapies include atorvastatin (10–20 mg), rosuvastatin (5–10 mg), simvastatin (20–40 mg), pravastatin (40–80 mg), and several others.
What is a good LDL for 70 year old woman?
So what are your target numbers? According to Michos, an ideal LDL cholesterol level should be less than 70 mg/dl, and a woman’s HDL cholesterol level ideally should be close to 50 mg/dl. Triglycerides should be less than 150 mg/dl. As Michos notes, total cholesterol levels well below 200 mg/dl are best.
