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ARTICLE |

Cardiac Risk Classification Based on Lipid Screening FREE

Richard Belsey, MD; Daniel M. Baer, MD
JAMA. 1990;263(9):1250-1252. doi:10.1001/jama.1990.03440090084032
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The National Cholesterol Education Program, a consortium of public and private groups created by the National Institutes of Health, Bethesda, Md, has advised all Americans to "know your cholesterol number" so they can take steps to reduce their risk of coronary artery disease. The recommendations of the Adult Treatment Panel of the National Cholesterol Education Program is that total cholesterol levels of less than 5.17 mmol/L (200 mg/dL) and low-density lipoprotein cholesterol levels of less than 3.36 mmol/L (130 mg/dL) are "desirable," while levels of 6.21 mmol/L (240 mg/dL) and 4.13 mmol/L (160 mg/dL) or more, respectively, are "high," carrying with them an increased risk of coronary artery disease.1 Values that fall between these two limiting values are considered to be "borderline-high."

Given the important role of cholesterol testing in the prevention and management of coronary heart disease, the National Cholesterol Education Program regards it as important that clinical

REFERENCES

 The Expert Panel. Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults . Arch Intern Med. 1988;;36:36-69.
 Current status of blood cholesterol measurement in clinical laboratories in the United States: a report from the Laboratory Standardization Panel of the National Cholesterol Education Program . Clin Chem. 1989;;34:193-201.
Kaufman HW, Mc Namara JR, Anderson KM, Wilson PWF, Schaefer EJ.  How reliably can compact chemistry analyzers measure lipids? JAMA. 1990;;263:1245-1249.
Naughton MJ, Luepker RV, Strickland D.  The accuracy of portable cholesterol analyzers in public screening programs . JAMA. 1990;;263:1213-1217.
Belsey R, Goitein RK, Baer DM.  Evaluation of a laboratory system intended for use in physicians' offices: reliability of results produced by trained laboratory technologists . JAMA. 1987;;258:353-356.
Belsey R, Goitein RK, Baer DM.  Evaluation of a laboratory system intended for use in physicians' offices: reliability of results produced by health care workers without formal or professional laboratory training . JAMA. 1987;;258:357-361.
Rotterdam EP, Katan MB, Knuiman JT.  Importance of time interval between repeated measurements of total or high-density lipoprotein cholesterol when estimating an individual's baseline concentrations . Clin Chem. 1987;;33:1913-1915.
Demacker PNM, Schade RWB, Jansen RTP, Van't Laar A.  Intra-individual variation of serum cholesterol, triglycerides and high-density lipoprotein cholesterol in normal humans . Atherosclerosis. 1982;;45:259-266.
Cooper GR, Myers GL, Smith SJ, Sampson EJ.  Standardization of lipid, lipoprotein and apolipoprotein measurements . Clin Chem. 1988;;34( (suppl) ):B95-B105.
Brett AS.  Treating hypercholesterolemia: how should practicing physicians interpret published data for patients? N Engl J Med. 1989;;321:676-680.
Olson RE.  A critique of the report of the National Institutes of Health Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol . Arch Intern Med. 1989;;149:1501-1503.

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 The Expert Panel. Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults . Arch Intern Med. 1988;;36:36-69.
 Current status of blood cholesterol measurement in clinical laboratories in the United States: a report from the Laboratory Standardization Panel of the National Cholesterol Education Program . Clin Chem. 1989;;34:193-201.
Kaufman HW, Mc Namara JR, Anderson KM, Wilson PWF, Schaefer EJ.  How reliably can compact chemistry analyzers measure lipids? JAMA. 1990;;263:1245-1249.
Naughton MJ, Luepker RV, Strickland D.  The accuracy of portable cholesterol analyzers in public screening programs . JAMA. 1990;;263:1213-1217.
Belsey R, Goitein RK, Baer DM.  Evaluation of a laboratory system intended for use in physicians' offices: reliability of results produced by trained laboratory technologists . JAMA. 1987;;258:353-356.
Belsey R, Goitein RK, Baer DM.  Evaluation of a laboratory system intended for use in physicians' offices: reliability of results produced by health care workers without formal or professional laboratory training . JAMA. 1987;;258:357-361.
Rotterdam EP, Katan MB, Knuiman JT.  Importance of time interval between repeated measurements of total or high-density lipoprotein cholesterol when estimating an individual's baseline concentrations . Clin Chem. 1987;;33:1913-1915.
Demacker PNM, Schade RWB, Jansen RTP, Van't Laar A.  Intra-individual variation of serum cholesterol, triglycerides and high-density lipoprotein cholesterol in normal humans . Atherosclerosis. 1982;;45:259-266.
Cooper GR, Myers GL, Smith SJ, Sampson EJ.  Standardization of lipid, lipoprotein and apolipoprotein measurements . Clin Chem. 1988;;34( (suppl) ):B95-B105.
Brett AS.  Treating hypercholesterolemia: how should practicing physicians interpret published data for patients? N Engl J Med. 1989;;321:676-680.
Olson RE.  A critique of the report of the National Institutes of Health Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol . Arch Intern Med. 1989;;149:1501-1503.
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