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Articles  |   May 2002
Practical application of Adult Treatment Panel III guidelines: three illustrative case histories
Article Information
Cardiovascular Disorders / Preventive Medicine
Articles   |   May 2002
Practical application of Adult Treatment Panel III guidelines: three illustrative case histories
The Journal of the American Osteopathic Association, May 2002, Vol. 102, 12S-14S. doi:
The Journal of the American Osteopathic Association, May 2002, Vol. 102, 12S-14S. doi:
Abstract

The Adult Treatment Panel III (ATP III) guidelines continue to emphasize intensive treatment for persons at risk for coronary heart disease (CHD). The newest feature is a focus on primary prevention in persons with multiple risk factors; the updated guidelines recognize diabetes as a CHD risk equivalent. These groups of people already are at high risk and can benefit from increased intensive treatment to lower serum low-density lipoprotein cholesterol (LDL-C) levels. The ATP III guidelines establish lower targets for LDL-C and triglyceride levels and higher targets for the high-density lipoprotein cholesterol level. The guidelines also combine several risk factors to estimate the probability of CHD with use of the Framingham risk point-scoring formula and emphasize the multifactorial benefits of drug therapy as an adjunct to lifestyle changes.