Ask the doctor


Approach to a Suspected Case of Vhf

Advanced Lipoprotein Fingerprinting is a moreis low and patient is not fasting, consider
precise cholesterol test that allows doctorschecking total cholesterol and high-density
to identify health risks that traditionallipoprotein  (HDL)  cholesterol.
screens miss. Doctors now have a precise
reading not only of a patient's cholesterolGeneral  Awareness  Activities:
levels but other independent risk factors
known  to  be  associated with heart disease.Employer, School and Community Education
Awareness  Activities
The process separates lipids in the blood to
create a detailed cholesterol profile thatMany educational and medical individuals are
helps doctors identify patients at risk forplaying very impressive and crucial role by
heart disease. The detailed graph allows aputting their efforts in helping to increase
doctor to precisely analyze a patient'sthe number of children and adults to present
overall risk profile and monitor thethemselves  for appropriate lipid screenings.
effectiveness of a diet or treatment regimen.
Awareness initiative programming conducted
This advanced analytical techniques that canincludes:
help doctors diagnose early warning signs for
coronary heart disease, which kills more than•  Posters  for company bulletin boards
2,600 Americans a day, according to the
American Heart Association. High LDL• General screening information "tents"
cholesterol is a major cause of coronaryfor tables in reception areas, cafeterias,
heart disease, according to the Nationalemployee lounges, locker rooms, and other
Cholesterol  Education  Program.such  places
Aiming to identify early risk factors, the• Incentives to increase compliance
National Cholesterol Education Program issuedwith and awareness of guideline screening
guidelines calling for more comprehensiverecommendations Information on the importance
cholesterol screens as well as other riskof regular lipid screening can be included as
factors not included in the cholesterolpart of a larger health promotion/disease
screen.prevention initiative which includes not only
cholesterol and healthy lifestyles but aware
Early detection, particularly in youth, ispeople of heart diseases and appropriate
the key to slowing down the development ofhealth  care  utilization  as  well.
heart disease in later life. Advanced
cholesterol screening is a valuable tool thatHealth  care  providers  should:
is gaining acceptance among medical insurers.
• Establish a process to identify those
Texas A&M University researchers createdneeding  cholesterol  screening
Advanced Lipoprotein Fingerprinting as a more
precise cholesterol test that allows doctors• Make educational brochures available
to identify health risks that traditionalat  time  of  visit
screens miss. LipidLabs further refined the
Advanced Lipoprotein Fingerprinting Process• Select educational materials based on
and made Advanced Lipoprotein Fingerprintinga  nutrition  and  exercise  assessment
available for commercialization. LipidLabs'
results translate to more accurate and• Utilize a system encouraging patients
specific data on which to make clinicalto attend classes if laboratory results
judgments and guide patient therapy andsuggest benefit from changing nutritional and
prevention  at  reasonable  costs.or  exercise  behaviors.
Clinical  Highlights:Doctors somethimes also make visits to
offices and schools for conducting lipid
1. Screen men over age 34 and women over agescreenings.
44  every  five  years.
Total  Cholesterol  >200;  LDL  >130; HDL200?
2. The decision to screen men age 20 to 34
years, women age 20 to 44 years and anyoneIndividuals with a total cholesterol less
over 75 years should be based on individualthan or equal to 200 mg/dL (and
preferences  of  patient  and  provider.HDL-cholesterol of 40 mg/dL or above or
triglycerides less than or equal to 200) have
3. Measure cholesterol fractionation anda desirable cholesterol level are advised to
provide nutrition and exercise assessmentrepeat cholesterol fractionation in five
every five years. If likelihood of follow-upyears.



1 A B C D E F 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136