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Treatment Goals for LDL-c to Reduce Cardiovascular Risk in Individuals with High and Very High Cardiovascular Disease Risk*

Treatment Goals for LDL-c to Reduce Cardiovascular Risk Depending on CV Risk Estimation.png


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*

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.