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ARTICLE |

Portable Cholesterol Analyzers FREE

Jacques Massé, MD
[+] Author Affiliations

Edited by Drummond Rennie, MD, Deputy Editor (West), and Don Riesenberg, MD, Senior Editor.


JAMA. 1990;264(9):1101-1101. doi:10.1001/jama.1990.03450090037010
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To the Editor.—  Kaufman et al1 reported that they calculated low-density lipoprotein cholesterol concentration by subtracting the high-density lipoprotein cholesterol concentration and one fifth of the triglyceride concentration from the total cholesterol concentration.2 As I have stated elsewhere,3 this equation was developed with conventional units and must be adapted before application with Système International (SI) units: the triglyceride concentration must be divided by 2.18 instead of 5.Also, the Friedewald formula is valid only if the triglyceride level is below 4.52 mmol/L.4,5 Kaufman et al1 excluded specimens only if they were lipemic, but those with triglyceride concentrations between 4.52 and 6.77 mmol/L are not necessarily grossly lipemic, so the absence of lipemia does not mean that the equation can be validly applied in this range.

REFERENCES

Kaufman HW, McNamara JR, Anderson KM, Wilson PWF, Schaefer EJ.  How reliably can compact chemistry analyzers measure lipids? JAMA . 1990;;263:1245-1249.
Friedewald WT, Levy RI, Frederickson DS.  Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge . Clin Chem. 1972;;18:499-502.
Massé J.  Changes in lipoproteins during weight loss . N Engl J Med. 1989;;320:668.
Warnick GR, Knopp RH, Fitzpatrick V, Branson L.  Estimating low-density lipoprotein cholesterol by the Friedewald equation is adequate for classifying patients on the basis of nationally recommended cutpoints . Clin Chem. 1990;;36:15-19.
McNamara JR, Cohn JS, Wilson PWF, Schaefer EJ.  Calculated values for low-density lipoprotein cholesterol in the assessment of lipid abnormalities and coronary disease risk . Clin Chem. 1990;;36:36-42.

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Kaufman HW, McNamara JR, Anderson KM, Wilson PWF, Schaefer EJ.  How reliably can compact chemistry analyzers measure lipids? JAMA . 1990;;263:1245-1249.
Friedewald WT, Levy RI, Frederickson DS.  Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge . Clin Chem. 1972;;18:499-502.
Massé J.  Changes in lipoproteins during weight loss . N Engl J Med. 1989;;320:668.
Warnick GR, Knopp RH, Fitzpatrick V, Branson L.  Estimating low-density lipoprotein cholesterol by the Friedewald equation is adequate for classifying patients on the basis of nationally recommended cutpoints . Clin Chem. 1990;;36:15-19.
McNamara JR, Cohn JS, Wilson PWF, Schaefer EJ.  Calculated values for low-density lipoprotein cholesterol in the assessment of lipid abnormalities and coronary disease risk . Clin Chem. 1990;;36:36-42.
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