Getting aggressive on lipids
August 2, 2012
THE Heart Foundation has set
new cholesterol targets for heart
attack survivors, with desired LDL
levels of less than 1.8 mmol/L to
“reflect the high risk of further
events in these patients”.
The foundation’s Clinical Issues
Director, Dr Robert Grenfell, said
the new targets are not for healthy
Australians, but specifically for
those with established heart disease.
The guidelines also include a new
goal for non-high-density lipoprotein
cholesterol (NHDL-C) which should
be less than 2.5 mmol/L because
this is “likely to be a more accurate
measure of bad cholesterol”.
NHDL-C may also be a better
measure for diabetics, who often
have high triglyceride levels.
The revised targets are outlined in
the Heart Foundation’s 2012
edition of Reducing risk in heart
disease - an expert guide to clinical
practice for secondary prevention of
coronary heart disease.
“We believe up to 80% of deaths
from coronary heart disease could
be prevented if evidence-based
treatment and management was
more widely implemented and
adhered to,” Grenfell added.
The high risk patient targets also
include HDL-C of greater than 1.0
mmol/L, and triglycerides of less
than 2 mmol/L.
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