The Living Guidelines: Chronic Stable Angina Pectoris Recommendations for LDL-C, HDL-C and Triglycerides Management Polling Results for CLASS I Guidelines

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Class I Guidelines
1. LDL-C should be <100 mg/dL Class I (Level of Evidence: A)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 1 for LDL-C, HDL-C and Triglycerides Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. If baseline LDL-C is ≥100 mg/dL, LDL lowering drug therapy should be initiated in addition to therapeutic lifestyle changes. When LDL-lowering medications are used in high risk or moderately high-risk persons, it is recommended that intensity of therapy be sufficient to achieve a 30% to 40% reduction in LDL-C levels. Class I (Level of Evidence: A)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 2 for LDL-C, HDL-C and Triglycerides Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. If on-treatment LDL-C is ≥100 mg/dL, LDL-lowering drug therapy should be intensified. Class I (Level of Evidence: A)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 3 for LDL-C, HDL-C and Triglycerides Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. If Triglycerides are 200 to 499 mg/dL, non–HDL-C should be <130 mg/dL (Class I Level of Evidence: B)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 4 for LDL-C, HDL-C and Triglycerides Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 5. If Triglycerides are ≥500 mg/dL, therapeutic options to lower the Triglycerides to reduce the risk of pancreatitis are fibrate or niacin; these should be initiated before LDL-C lowering therapy. The goal is to achieve non HDL-C <130 mg/dL if possible. (Class I Level of Evidence: C)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 5 for LDL-C, HDL-C and Triglycerides Management should be: CLASS I CLASS IIa CLASS IIb CLASS III