ACC/AHA guidelines
von Belinda D
1. Groups that SHOULD NOT be on statins
1.1. LDL <190 mg/dL w/out Clinical ACSVD
1.1.1. not young and not old
1.2. ACSVD risk <5% and LDL 70-189
1.3. Hemodialysis
1.4. NYHA class III or IV HF
2. Statin Dosing
2.1. HIGH
2.1.1. 50%+ LDL
2.1.2. atorvastatin 40-80mg rosuvastatin 20-40mg
2.2. Moderate
2.2.1. LDL 30-50%
2.2.2. atorvastatin 10-20mg rosuvastatin 5-10mg
2.2.3. fluvastatin 80mg pravastatin 40-80mg lovastatin 40mg simvastatin 20-40mg pitavastatin 2-4mg
3. Benefit groups
3.1. Clinical ACSVD
3.2. LDL 190+ mg/dL
3.3. DM and 40-75 yrs
3.4. ACSVD risk 7.5+% AND 40-75 yrs
4. Statin Indications
4.1. High
4.1.1. Clinical ACSVD age < 75
4.1.1.1. ACSVD >7.5% and DM and young
4.1.2. LDL 190+ mg/dL
4.1.3. DM, age 40-75, and ACSVD 7.5%+
4.2. Moderate
4.2.1. Clinicial ACSVD and >75 yrs
4.2.2. DM and 40-75 yrs and <7.5%
5. minus young, ACSVD risk <7.5%
6. Clinical ACSVD
6.1. Acute Coronary Syndrome
6.1.1. 1. STEMI 2. NSTEMI 3. Unstable angina
6.1.2. condition resulting from reduced blood flow to heart