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SLIDE 1: ATP III Guidelines
Detection and Evaluation

SLIDE 2: Categories of Risk Factors

SLIDE 3: Life-Habit Risk Factors

SLIDE 4: Emerging Risk Factors

SLIDE 5: Risk Assessment
Count major risk factors

For patients with multiple (2+) risk factors
- Perform 10-year risk assessment
For patients with 0-1 risk factor
- 10 year risk assessment not required
- Most patients have 10-year risk <10%

SLIDE 6: Major Risk Factors (Exclusive of LDL Cholesterol) That Modify LDL Goals

Cigarette smoking
Hypertension (BP 140/90 mmHg or on antihypertensive medication)
Low HDL cholesterol (<40 mg/dL)†
Family history of premature CHD
- CHD in male first degree relative <55 years
- CHD in female first degree relative <65 years
Age (men 45 years; women 55 years)

† HDL cholesterol 60 mg/dL counts as "negative" risk factor; its presence removes one risk factor from the total count.

SLIDE 7: Diabetes
In ATP III, diabetes is regarded as a CHD risk equivalent.

SLIDE 8: CHD Risk Equivalents

Hard CHD=myocardial infarction + coronary death

SLIDE 9: Diabetes as a CHD Risk Equivalent

10-year risk for CHD 20%
High mortality with established CHD
- High mortality with acute MI
- High mortality post acute MI

SLIDE 10: CHD Risk Equivalents

Other clinical forms of atherosclerotic disease (peripheral arterial disease, abdominal aortic aneurysm, and symptomatic carotid artery disease)
Diabetes
Multiple risk factors that confer a 10-year risk for CHD >20%

SLIDE 11: Three Categories of Risk that Modify LDL-Cholesterol

SLIDE 12: ATP III Lipid and Lipoprotein Classification
LDL Cholesterol (mg/dL)

SLIDE 13: ATP III Lipid and Lipoprotein Classification (continued)
HDL Cholesterol (mg/dL)

SLIDE 14: ATP III Lipid and Lipoprotein Classification (continued)
Total Cholesterol (mg/dL)