JCL roundtable. The 2018 AHA/ACC/Multisociety Cholesterol Guidelines: Process and product.


Journal Article

In this NLA Roundtable four members of the writing committee join the Editor to discuss the process of developing the AHA/ACC/Multisociety Cholesterol Guidelines, which were unveiled in November 2018. They also provide personal insights on the finished product. Highlights include 1) the committee's decision to summarize 10 take-home messages providing rapid communication of key points, 2) emphasis on clinician -patient discussion, which may bring up issues specific to women or other population groups at risk, 3) personalizing risk with risk-enhancing factors such as LDL-C ≥ 160 mg/dl, metabolic syndrome, chronic kidney disease, pre-eclampsia, premature menopause, high risk ethnicity, inflammatory diseases, hypertriglyceridemia and in selected cases, Lp(a), hs-CRP and apoB; 4) using coronary artery calcium scoring when a risk decision is uncertain in intermediate risk patients 5) monitoring for goals of moderate or intensive LDL cholesterol reduction, 6) thresholds for adding nonstatin LDL-lowering therapy in those at very high risk or for heterozygous familial hypercholesterolemia and 7) cost value assessment for expensive treatment.

Full Text

Duke Authors

Cited Authors

  • Braun, LT; Saseen, JJ; Orringer, CE; Stone, NJ; Guyton, JR

Published Date

  • May 2019

Published In

Volume / Issue

  • 13 / 3

Start / End Page

  • 345 - 355

PubMed ID

  • 31229021

Pubmed Central ID

  • 31229021

International Standard Serial Number (ISSN)

  • 1933-2874

Digital Object Identifier (DOI)

  • 10.1016/j.jacl.2019.05.008


  • eng

Conference Location

  • United States