Triglycerides >4.5mmol/L (hypertriglyceridaemia).Non-HDL-C >5.9 mmol/L (hypercholesterolaemia) and/or.Total cholesterol >7.5mmol/L (hypercholesterolaemia) and/or.The first step is to identify patients with severe hyperlipidaemia. Interpreting a lipid profile Does the patient have severe hyperlipidaemia? statins).Ī lipid profile should not be performed within six weeks of any acute illness or injury, as there is a temporary reduction in cholesterol during this period. Patients with hyperlipidaemia and those who have had a cardiovascular event should have lipid profile monitoring to assess the effectiveness of lipid-lowering treatment (e.g. myocardial infarction, stroke) should have a lipid profile to guide future risk reduction strategies. Patients who have had a recent cardiovascular event (e.g. The result can be used as part of the QRISK3 score, which estimates an individual’s risk of cardiovascular disease in the next ten years.Īdditionally, a patient of any age who is noted to have features of hyperlipidaemia on physical examination, such as tendon xanthoma, xanthelasma or corneal arcus, should have a lipid profile performed. ScreeningĪdults between the ages of 40 and 74 years without cardiovascular disease may be offered a lipid profile as part of an NHS health check. There are three sets of circumstances in which a lipid profile is requested. You might also be interested in our collection of 800+ OSCE Stations that cover clinical examination, procedures, communication skills and data interpretation. At concentrations over 10mmol/L, triglycerides are also associated with pancreatitis.
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