Pr Med: Dyslipidemia
meduploader - 05-16-09 13:47

Screening!
USPTF Recommendations
Screening Men
Screen all men aged 35 and older for lipid disorders (Grade A)
Screening men aged 20 to 35 for lipid disorders if they are at increased risk for coronary heart disease. (GradeB).
Screening Women at Increased Risk
Strongly recommends screening women aged 45 and older for lipid disorders if they are at increased risk for CAD. (Grade: A).
Screen women aged 20 to 45 for lipid disorders if they are at increased risk for CAD. (Grade: B).
Screening Young Men and All Women Not at Increased Risk
The USPSTF makes no recommendation for or against routine screening for lipid disorders in men aged 20 to 35, or in women aged 20 and older who are not at increased risk for coronary heart disease. (Grade: C).
A repeat level should be obtained every 5 years if the first test was normal
Lipid Screening
All these patients should get a fasting lipid panel as a screening test : In general, screen people with increased risk for CAD
Diabetes ( or any other CAD equivalent),
A positive family history of premature CVD
A family history of dyslipidemia
evidence of hyperlipidemia on physical examination ( Xanthomas, xanthelesmas etc)
increased risk of CAD with two or more other cardiovascular risk factors ( Male sex, Hypertension, smoking etc).
When to stop?
There are no data on at what age screening should be stopped.
However, available data suggest that lipid-lowering treatment is effective in elderly patients up to age 80
Patients over age 80 have not been well studied.