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Fredrickson classification frequency of phenotype IIa
10%
Fredrickson classification frequency of phenotype IIb
40%
Fredrickson classification frequency of phenotype IV
45%
Fredrickson classification frequency of phenotype V
less than 5%
fasting serum triglycerides level normal
less than 150
fasting serum triglycerides level very high (severe)
500+
hypertriglyceridemia tx if tg is 150-499
lifestyle & address secondary causes
hypertriglyceridemia tx if tg is 500+
add statin if ASCVD risk 7.5%+
hypertriglyceridemia tx if tg is still 500+ after statin
add omega-3 polyunsaturated fatty acids, then fibrate if necessary
metabolic syndrome must meet at least 3/5
HTN 130/80+
waist circumference —> men 40 in+, women 35+
low HDL —> men less than 40, women less 50
TG 175+
FBG 100+
4 statin benefit groups
clinical ascvd
ldl 190+
40-75 yo & t2m
40-75 yo & 7.5%+ risk ascvd