Treatment Goals for LDL-c to Reduce Cardiovascular Risk in Individuals with High and Very High Cardiovascular Disease Risk*
Treatment algorithm for pharmacological low-density lipoprotein cholesterol lowering*
Adapted from: 2019 ESC/EAS Guidelines for the management of dyslipidaemia: lipid modification to reduce cardiovascular risk. European Heart Journal, 2020, 41:111-188.
Abbreviations:
ASCVD = atherosclerotic cardiovascular disease;
BP = blood pressure;
CKD = chronic kidney disease;
CVD = cardiovascular disease;
DM = diabetes mellitus;
eGFR = estimated glomerular filtration rate;
LDL-C = low-density lipoprotein cholesterol;
PCSK9 = proprotein convertase subtilisin/kexin type 9;
SCORE = Systematic Coronary Risk Estimation;
T1DM = type 1 DM;
T2DM = type 2 DM;
TC = total cholesterol
SCORE2 and SCORE2-OP Cardiovascular disease risk estimation stratified by age* |
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CV risk estimation |
< 50y |
50 - 69y |
> 70y |
Low / moderate |
< 2.5% |
< 5% |
< 7.5% |
High |
2.5 - < 7.5% |
5 - < 10% |
7.5 - < 15% |
Very high |
> 7.5% |
> 10% |
> 15% |
* For the cardiovascular risk definitions, please refer to the 2019 ESC/EAS Guidelines for the management of dyslipidaemia: lipid modification to reduce cardiovascular risk.