Hi Rob,
According to the Australian prescribing guidelines the patient would not be prescribed a Statin. The HDL is too high and the LDL too low.
Here are the guidelines
http://www.pbs.gov.au/info/healthpro/explanatory-notes/gs-lipid-lowering-drugs
Greg
Greg Watts|Deputy Director
Sydney Adventist Hospital Pathology
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Rob Lord
Sent: Wednesday, 4 June 2014 5:03 PM
To: [log in to unmask]
Subject: High cholesterol but low cholesterol/HDL ratio
Hello
I see quite a few patients who have a high total cholesterol but a low
cholesterol to HDL ratio. eg latest patient
61 year old female
Total cholesterol = 7.7 mmol/L
HDL cholesterol = 2.84 mmol/L
LDL cholesterol = 4.5 mmol/L
No family history of CVD, diet = good. Nil of note on examination.
QRISK2 = 7%
Should the patient be treated with a statin on the basis of the
elevated total cholesterol alone?
Many thanks
Rob
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