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Lipid modification - primary and secondary CVD prevention - Management
When should I consider intensifying lipid modification therapy for secondary prevention of cardiovascular disease?

  • Consider higher intensity lipid modification therapy if total cholesterol of less than 4 mmol/L or low-density lipoprotein cholesterol of less than 2 mmol/L has not been achieved.
  • Any decision to offer a higher intensity statin should take into account patient preference and tolerability, comorbidities, multiple drug therapy, and the benefits and risks of treatment.
  • A target total cholesterol level of less than 5 mmol/L should be used as the minimum standard of care for all people with cardiovascular disease. Wherever possible, the optimal treatment targets should be achieved.

In depth

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