Hyperlipoproteinemia laboratory findings: Difference between revisions
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| colspan="2"| Levels of total cholesterol (mg/dl) | | colspan="2"| Levels of total cholesterol (mg/dl) | ||
|- | |- | ||
| <200 || Desirable | | < 200 || Desirable | ||
|- | |- | ||
| 200-239 || Borderline high | | 200 - 239 || Borderline high | ||
|- | |- | ||
| | | ≥ 240 || High | ||
|-bgcolor="SlateGray" align="center" | |-bgcolor="SlateGray" align="center" | ||
| colspan="2"| Levels of LDL cholesterol (mg/dl) | | colspan="2"| Levels of LDL cholesterol (mg/dl) | ||
|- | |- | ||
| <100 || Optimal | | < 100 || Optimal | ||
|- | |- | ||
| 100-129 || Near optimal | | 100 - 129 || Near optimal | ||
|- | |- | ||
| 130-159 || Borderline high | | 130 - 159 || Borderline high | ||
|- | |- | ||
| 160-189 || High | | 160 - 189 || High | ||
|- | |- | ||
| | | ≥ 190 || Very high | ||
|-bgcolor="SlateGray" align="center" | |-bgcolor="SlateGray" align="center" | ||
| colspan="2"| Levels of HDL Cholesterol (mg/dl) | | colspan="2"| Levels of HDL Cholesterol (mg/dl) | ||
|- | |- | ||
| <40 || Low | | < 40 || Low | ||
|- | |- | ||
| | | ≥ 60 || High | ||
|-bgcolor="SlateGray" align="center" | |-bgcolor="SlateGray" align="center" | ||
| colspan="2"| Levels of serum triglycerides (mg/dl) | | colspan="2"| Levels of serum triglycerides (mg/dl) | ||
|- | |- | ||
| <150 || Normal | | < 150 || Normal | ||
|- | |- | ||
| 150-199 || Borderline high | | 150 - 199 || Borderline high | ||
|- | |- | ||
| 200-499 || High | | 200 - 499 || High | ||
|- | |- | ||
| | | ≥ 500 || Very high | ||
|} | |} | ||
Revision as of 17:38, 24 October 2012
Lipoprotein Disorders Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
Complete lipid profile
The US National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) suggests screening asymptomatic individuals with a complete fasting lipid profile every 5 years. Obtain complete lipid profile after 9 to 12-hour fast. The reference values according to ATP III classification for making the diagnosis and risk stratification are depicted below:
Levels of total cholesterol (mg/dl) | |
< 200 | Desirable |
200 - 239 | Borderline high |
≥ 240 | High |
Levels of LDL cholesterol (mg/dl) | |
< 100 | Optimal |
100 - 129 | Near optimal |
130 - 159 | Borderline high |
160 - 189 | High |
≥ 190 | Very high |
Levels of HDL Cholesterol (mg/dl) | |
< 40 | Low |
≥ 60 | High |
Levels of serum triglycerides (mg/dl) | |
< 150 | Normal |
150 - 199 | Borderline high |
200 - 499 | High |
≥ 500 | Very high |
Other laboratory tests
For careful medical evaluation, must take into consideration all medications (both prescription and over-the-counter medications) and perform following tests to rule out secondary hyperlipidemias:
- Serum thyroid-stimulating hormone
- Liver function tests
- Serum creatinine
- Urinalysis
Other tests that may be done include: Studies of cells called fibroblasts to see how the body absorbs LDL cholesterol Gene or receptor analysis for the defect associated with this condition