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Male Female
Multi-specialty hospital
Clinic/ nursing home
Government hospital/ medical college
Mixed
<20%
20% - 50%
50% - 80%
>80%
<100mg/dl
<70 mg/dl
<50 mg/dl
≤30 mg/dl
Individualized based on risk assessment
Increase of the risk of hemorrhagic stroke
Increase of the risk of cognitive impairment
Increase of the risk of new onset diabetes
Development of myopathy
Derangement of liver enzymes
Do not have any concern
Yes
No
Uncertain
0% (I have no statin-intolerant patients)
<10%
10-20%
21-30%
31-50%
>50%
20 mg/dL (0.52 mmol/L)
30 mg/dL (0.78 mmol/L)
40 mg/dL (1.03 mmol/L)
50 mg/dL (1.29 mmol/L)
60 mg/dL (1.55 mmol/L)
70 mg/dL (1.80 mmol/L)
Affects the risk significantly
Affects the risk moderately
Affects the risk to a small extent
Does not affect the risk
HDL cholesterol level is not used
HDL cholesterol level is sometimes used as 'a risk index of ASCVD'
HDL cholesterol level is sometimes used as 'a therapeutic efficacy index.'
HDL cholesterol level is sometimes used as both 'a risk index of ASCVD' and 'a therapeutic efficacy index
I know about FH and have patients with FH (which was found by my diagnosis)
I know about FH and have referred patients with suspected FH to some other medical institution/physician.
I do not know about FH.
Palpation of Achilles tendon
X-ray photography of Achilles tendon
Take a family history of hyper-LDL-cholesterolaemia
Take a family history of FH
Slowing the decline of the glomerular filtration rate.
Reducing the rate of kidney function loss.
Preventing renal injury and enhancing renal perfusion.
Reducing proteinuria and kidney function loss
Exhibiting anti-inflammatory, antioxidant, and plaque-stabilizing capacities
Stage 1
Stage 2
Stage 3
At all stages of CKD
< 140 mg/dL (< 3.62 mmol/L)
< 120 mg/dL (< 3.10 mmol/L)
< 100 mg/dL (< 2.6 mmol/L)
< 70 mg/dL (< 1.8 mmol/L)
Fibrates
Ezetimibe
PCSK 9i
Bempedoic acid
Use statins
Use fibrates
Use nicotinic acid derivatives
Use n-3 polyunsaturated fatty acid
Manage through lifestyle modification without medications
Low intensity statin therapy
Moderate intensity statin therapy
High intensity statin therapy