Lipid Management in Adults
ICSI Guidelines

0-1 risk factor and 10 year CHD risk < 10%

• LDL < 160
• Initiate lifestyle modification if LDL > 160
• Initiate drug therapy if LDL > 190

2+ risk factors and 10 year CHD risk < 10%

• LDL goal < 130
• Initiate lifestyle modification if LDL>130
• Consider drug therapy if LDL > 160

2+ risk factors and 10 year CHD risk 10-20%

• LDL goal < 130
• Initiate lifestyle modification if LDL > 130
• Initiate drug therapy if LDL > 130

CHD or CHD equivalent and/or 10 year CHD risk > 20%

• CHD LDL goal < 70
• CHD equivalent LDL goal < 100

Measure lipids at 6 weeks if drug therapy initiated.

If goals are met, monitor in 3-12 month intervals.