LIPIDS: Lipoprotein III Flashcards
NCEP Guideline Recommendations:
LDL Cholesterol:
Optimal
Near Optimal
Borderline High
High
Very High
Optimal <100
Near Optimal 100-129
Border line High 130 - 159
High 160 - 189
Very High >190
NCEP Guideline Recommendations:
Total Cholesterol:
Desirable
Borderline High
High
Desirable < 200
Borderline High 200-239
High >240
NCEP Guideline Recommendations:
HDL Cholesterol:
Positive Risk
Negative Risk
Positive Risk < 40
Negative Risk > 60
NCEP Guideline Recommendations:
Triglycerides:
Normal
Borderline High
High
Very High
Normal <150
Borderline High 150-199
High 200-499
Very High >500
NCEP Therapeutic Goals:
LDL
1. CHD is present
2. No CHD, 2 or more risk
3. No CHD, No Risk
- < 100
- < 129
- < 159
NCEP Therapeutic Goals:
Total Cholesterol
< 200
NCEP Therapeutic Goals:
Triglycerides
< 150
NCEP Therapeutic Goals:
HDL
> 60
Frederickson Classification of Hyperlipidemias:
Increased Chylomicrons
Creamy Top Layer
Type I Hyperlipoproteinemia / Familial Hyperchylomicronemia
Frederickson Classification of Hyperlipidemias:
Increased LDL ; Clear
Type IIa Hyperlipoproteinemia / Familial Hypercholestrolemia
Frederickson Classification of Hyperlipidemias:
Increased LDL and VLDL ; Clear
Type IIb Hyperlipoproteinemia / Familial Combined Hypercholestrolemia
Frederickson Classification of Hyperlipidemias:
Increased IDL ; Turbid
Type III hyperlipoproteinemia / Familial dysbetalipoproteinemia
Frederickson Classification of Hyperlipidemias:
Increased VLDL
Type IV hyperlipoproteinemia / Familial Hyperlipemia
Frederickson Classification of Hyperlipidemias:
Increased VLDL and Chylomicrons ; Creamy at top, Turbid Bottom
Type V hyperlipoproteinemia / Familial Hypertriglyceridemia
Most common familial form of hyperlipoproteinemia
Type IIb Familial Combined Hyperlipidemia
- Apo B100 increased. HDL decreased.
associated with VLDL and B100 overproduction in the liver
Hyperabobetalipoproteinemia
Secondary Lipoproteinemia can be caused from
No Problem, My DM HOP
Nephrotic Syndrome
Pancreatitis
Myxedema
Diabetes Mellitus
Hypothyroidism
Obesity
Pregnancy
Hypolipoproteinemias:
Decreased TC
Decreased Trig
LDL and Apo B100 ABSENT
Abetalipoproteinemia
Hypolipoproteinemias:
Apo B100 and B48 are ABSENT
Low TC
Normal-Low Trig level
Hypobetalipoproteinemia
Hypolipoproteinemias:
Severely Elevated Trig
Low HDL
Hypoalphalipoproteinemia
Hypolipoproteinemias:
HDL absent
Mutation in ABCA1 gene on Chromosome 9
Tangier’s disease
hardening and narrowing of arteries
Arteriosclerosis
narrowing of arterial due to plaque build up ; deposition of cholesterol and Trigy
Atherosclerosis
phytosterols are absorbed and accumulates in plasma and peripheral tissues
Sitosterolemia
Transfer of Cholesterol esters are inhibited = Apo A1 increased
CETP deficiency
Chylomicron’s retention disease
Anderson’s disease
present in childhood with fat malabsorption and LOW PLASMA LIPIDS
Anderson’s disease
Atherosclerotic cardiovascular disease + Type 2 DM
Metabolic Syndrome
Metabolic Syndrome Risk Factors
HDL Decreased
LDL Increased
TRG Increased
Blood Glucose Inc
Blood Pressure Inc