This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Cholesterol and ischaemic heart disease

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Cholesterol-lowering therapy is an area of medicine that has prompted heated debate and a great deal of confusion.

Hypercholesterolaemia treatment can be considered in terms of primary and secondary prevention of coronary heart disease.

In general, the treatment of choice for raised cholesterol is a statin.

NICE state that (1):

  • before offering lipid modification therapy for primary prevention, all other modifiable CVD risk factors should be considered and their management optimised if possible. Baseline blood tests and clinical assessment should be performed, and comorbidities and secondary causes of dyslipidaemia should be treated. Assessment should include:
    • smoking status
    • alcohol consumption
    • blood pressure
    • body mass index or other measure of obesity
    • fasting total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides (if fasting levels are not already available)
    • fasting blood glucose
    • renal function
    • liver function (transaminases)
    • thyroid-stimulating hormone (TSH) if dyslipidaemia is present


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page