Approach on who to screen for dyslipidemia
  • Men ≥40 years of age
  • Women ≥50 years of age, or who are postmenopausal
Consider screening earlier in ethnic groups at increased risk (South Asian or First Nations individuals)
All patients with any of the following conditions regardless of age:
  • Current cigarette smoking
  • Diabetes
  • Arterial hypertension
  • Family history of premature CVD (First-degree relative aged <55 years in men and <65 years in women)
  • Family history of hyperlipidemia
  • Erectile dysfunction
  • Chronic kidney disease (eGFR ≤60 mL/min/1.73 m2 or urinary ACR ≥3 mg/mmol)
  • Inflammatory disease, such as: rheumatoid arthritis, systemic lupus erythematosus, psoriatic arthritis, ankylosing spondylitis and inflammatory bowel disease
  • HIV infection
  • Chronic obstructive pulmonary disease
  • Clinical evidence of atherosclerosis or abdominal aneurysm
  • Clinical manifestation of hyperlipidemia (xanthomas, xanthelasmas or premature arcus cornealis)
  • Obesity (body mass index >27 kg/m2 or metabolic syndrome, pre-diabetes or polycystic ovarian syndrome)

ACR: albumin:creatinine ratio; CVD: cardiovascular disease; eGFR: estimated glomerular filtration rate; HIV: human immunodeficiency virus.