Indications for Lipid Panel

• All adults greater than 20 years of age should be screened at least every 5 years using a fasting blood sample to obtain a lipid profile (total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides). A fasting lipid profile is preferred so an accurate assessment of LDL cholesterol can be performed, and fasting will allow the clearance oftriglycerides carried by chylomicrons from the circulation, allowing VLDL cholesterol to be determined.

• Children between 2 and 20 years old should be screened for high cholesterol if their parents have premature CHD or if one of their parents has a total cholesterol greater than 240 mg/dL (6.22 mmol/L). Early screening will help to identify children at highest risk ofdeveloping CHD in whom early education and dietary intervention is warranted.

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