Cholesterol Guidelines Push Proactive Screening, Personal Risk, and Sharper LDL Targets
Updated ACC/AHA cholesterol guidelines emphasize earlier detection and personalized risk assessment, with more aggressive LDL-C lowering and a new PREVENT risk calculator for 10- and 30-year risk starting at age 30; recommend one-time Lp(a) testing, consider risk enhancers and coronary calcium scoring to tailor therapy, set LDL targets of <100 mg/dL for most, <70 mg/dL for intermediate risk, and <55 mg/dL for high risk, and expand therapies beyond statins (ezetimibe, bempedoic acid, PCSK9 inhibitors); childhood screening for familial hypercholesterolemia is advised, while lifestyle remains foundational.
