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When to treat high LDL with high HDL
The Clinical Advisor, 04/30/09

Cohn PF - If CAD is present, we all agree to treat LDL of 130-160. For the asymptomatic non-CAD individual with zero risk factors (including advanced age), however, the advisor would probably not use statins at first but would try a dietary approach. In a patient older than 55 years who smokes or has diabetes or hypertension—alone or in combination—and especially with a positive family history, the advisor would treat an LDL of 130 regardless of the HDL level. I realize that others would be more conservative. There is no clear-cut answer to this one.

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