National Cholesterol Education Program, Adult Treatment Panel III (ATP III) At-A-Glance: Quick Desk Reference

QualityTool

National Cholesterol Education Program, Adult Treatment Panel III (ATP III) At-A-Glance: Quick Desk Reference

Description

This tool is designed to help clinicians implement the National Cholesterol Education Program’s clinical guidelines for cholesterol testing and management. Based on the Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel or ATP III), the Quick Desk Reference outlines cholesterol management in a sequence of easy-to-follow steps. Steps include:

  • Step 1: Determine lipoprotein levels: obtain complete lipoprotein profile after 9- to 12-hour fast
  • Step 2: Identify presence of clinical atherosclerotic disease that confers high risk for coronary heart disease (CHD) events (CHD risk equivalent)
  • Step 3: Determine presence of major risk factors (other than LDL)
  • Step 4: If 2+ risk factors (other than LDL) are present without CHD or CHD risk equivalent, assess 10-year (short-term) CHD risk
  • Step 5: Determine risk category
  • Step 6: Initiate therapeutic lifestyle changes (TLC) if LDL is above goal
  • Step 7: Consider adding drug therapy if LDL exceeds levels shown in Step 5 table
  • Step 8: Identify metabolic syndrome and treat, if present, after 3 months of TLC
  • Step 9: Treat elevated triglycerides

Developer:

National Cholesterol Education Program; National Heart, Lung, and Blood Institute (U.S.)

Funding Sources:

National Heart, Lung, and Blood Institute (U.S.)

History

Release Date: 2001
Original Summary: September 2004
Last Updated: 07/28/09

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