
*Therapeutic options include intensifying LDL-Lowering dietary or drug therapies, emphasizing weight reduction and increased physical activity, adding drugs to lower triglycerides or raise HDL cholesterol (nicotinic acid or fibrates), and intensifying control of other risk factors.


The LDL cholesterol goal is <160 mg/dL.Drug therapy can be considered if the LDL cholesterol level is >190 mg/dL after a trial of TLC.IF LDL cholesterol is 160-189 mg/dL, drug therapy is optional depending on clinical judgment.
*Factors favoring drug use are a severe single risk factor, a family history of premature CHD, and/or underlying or emerging risk factors in addition to a single major risk factor.