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NCEP/Framingham risk scores: Estimate of 10-yr CHD risk in men without CHD VBWG Age (y) 20–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79.

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Presentation on theme: "NCEP/Framingham risk scores: Estimate of 10-yr CHD risk in men without CHD VBWG Age (y) 20–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79."— Presentation transcript:

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6 NCEP/Framingham risk scores: Estimate of 10-yr CHD risk in men without CHD
VBWG Age (y) 20–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79 Points –9 – Age (y) 20–39 40–49 50–59 60–69 70–79 Nonsmoker Smoker Points Total-C Age (y) (mg/dL) 20–39 40–49 50–59 60–69 70–79 < 160– 200– 240– Systolic BP Points (mm Hg) Untreated Treated < – – – ≥ HDL-C (mg/dL) Points ≥60 –1 50– – <40 2 Point total: < >17 10-yr risk (%) < ≥30 Reilly MP, Rader DJ. Circulation. 2003;108:

7 ATP III update: LDL-C goals and cutpoints for treatment
VBWG Risk category LDL-C goal Initiate TLC Consider drug therapy High risk: CHD or CHD risk <100 mg/dL ≥100 mg/dL ≥100 mg/dL equivalents* (10-yr risk >20%) Moderately high risk: 2+ risk factors <130 mg/dL ≥130 mg/dL ≥130 mg/dL (10-yr risk 10%–20%) Moderate risk‡: 2+ risk factors <130 mg/dL ≥130 mg/dL ≥160 mg/dL (10-yr risk <10%) Lower risk‡: 0–1 risk factors <160 mg/dL ≥160 mg/dL ≥190 mg/dL (160–189 mg/dL drugs optional) (optional goal: <70 mg/dL)† (<100 mg/dL; consider drug options) (optional goal: <100 mg/dL) (100–129 mg/dL; consider drug options) *Diabetes or other noncoronary atherosclerotic disease †Favored for very high-risk subset ‡No changes in moderate and lower-risk category TLC = therapeutic lifestyle change Grundy SM et al. Circulation. 2004;110:

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