Dyslipidemia

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Cholesterol and triglyceride levels in children often improve with steady family changes in eating and activity, and early treatment lowers the risk of heart disease later in life. Caregiver expressed understanding and agreement with plan. Answered all questions.

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Dyslipidemia
• Lipid results, fasting status, family history of early heart disease, diet, activity, weight, and secondary causes reviewed
• Repeat fasting lipid panel ordered to confirm, at least 2 weeks after the first
• Heart-healthy diet with less saturated fat, fewer sugary drinks and simple carbohydrates, and more fruits, vegetables, whole grains, and fish
• Daily moderate to vigorous physical activity and limited recreational screen time
• Referred to a dietitian for family nutrition therapy
• Lifestyle changes for 6 months before considering medication
• Follow up after the repeat lipid panel

Cholesterol and triglyceride levels in children often improve with steady family changes in eating and activity, and early treatment lowers the risk of heart disease later in life. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Pattern (LDL, TG with low HDL, mixed, possible FH)
Repeat fasting to confirm; fasting after nonfasting screen; confirmed; recheck after 6 months
TSH, CMP, A1c, urinalysis for secondary causes
Diet (general, CHILD-2-LDL, CHILD-2-TG in plain words)
Activity and screen time; weight goals
Dietitian; lipid specialist; preventive cardiology
Lifestyle first; statin with each indication; continue; fish oil
Atorvastatin, Rosuvastatin, Pravastatin, Simvastatin
Baseline labs, muscle symptoms, pregnancy counseling
Family screening

Dyslipidemia

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Sources