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Chart 12. American Indians/Alaska Natives (AIs/ANs)
Recommendations
Strength Quality
Clinicians should be aware that AIs/ANs have higher
prevalence and incidence rates for ASCVD, and that certain
ASCVD risk factors (e.g., obesity, metabolic syndrome,
diabetes mellitus, and cigarette smoking ) are more common
among AIs/ANs than NHWs, whereas prevalence values for
hypertension and hypercholesterolemia are comparable or
slightly elevated compared to NHWs.
A Moderate
In general, clinicians should screen for and manage
dyslipidemia in AI/AN patients using the approach outlined
in the NLA Expert Panel Recommendations for Patient-
Centered Management of Dyslipidemia – Part 1. Because of
the high prevalence of obesity, metabolic syndrome, and
diabetes mellitus in AI/AN populations, strong emphasis
should be on lifestyle therapies.
A Moderate
Clinicians should generally assess risk in AI/AN patients
using the risk assessment approach outlined in the NLA
Expert Panel Recommendations for Patient-Centered
Management of Dyslipidemia – Part 1.
B Low
