Screening for lipid disorders in adults
- Sandeep Vijan, MD
Sandeep Vijan, MD
- Professor of Internal Medicine
- University of Michigan
- Section Editors
- Mason W Freeman, MD
Mason W Freeman, MD
- Section Editor — Lipids
- Professor of Medicine
- Harvard Medical School
- Joann G Elmore, MD, MPH
Joann G Elmore, MD, MPH
- Editor-in-Chief — Primary Care (Adult)
- Section Editor — General Medicine
- Professor of Medicine, Adjunct Professor of Epidemiology
- University of Washington School of Medicine
This topic addresses issues surrounding screening for lipid disorders in an adult primary prevention setting. The lipid profile and its components (total cholesterol, low density lipoprotein cholesterol, high density cholesterol, and triglycerides) are some of the most commonly ordered laboratory tests in clinical practice. The most common indication for this test (or its components) is for aiding the process of determining cardiovascular disease event risk. Other indications for these tests include the following:
●Identifying patients who are at high risk for a lipid abnormality due to a family history of genetic disorder, such as familial hypercholesterolemia; this has been referred to as "reverse cascade screening." (See "Inherited disorders of LDL-cholesterol metabolism".)
●Identifying the cause of another clinical problem such as pancreatitis.
●Managing patients with established atherosclerotic cardiovascular disease.
●Evaluating the efficacy of and/or adherence with lipid lowering therapy and lifestyle modification.
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- RATIONALE FOR SCREENING
- WHO SHOULD BE SCREENED
- CHOICE OF TESTS
- USING THE INFORMATION FROM LIPID SCREENING
- REPEAT SCREENING
- FASTING VERSUS NON-FASTING
- STOPPING SCREENING
- USING THE RESULTS OF SCREENING
- RECOMMENDATIONS OF OTHERS
- SOCIETY GUIDELINE LINKS
- SUMMARY AND RECOMMENDATIONS