88
Management
Figure 17. Managing Adults With Triglycerides ≥500 mg/dL
Adults with triglycerides
≥500 mg/dL
1
Estimate 10-y risk with
PREVENT-ASCVD
2a
Add fibric acid derivatives or
prescription omega-3 fatty
acids to lower triglyceride
level and risk of pancreatitis
1
Identify and manage
secondary causes of
hypertriglyceridemia
Optimize diet, physical
activity, ETOH intake and
weight management
1
AND
2a
Optional apoB goals
1
Have benefit-risk
discussion on lifestyle and
maximize statin and other
LLT to achieve LDL-C and
non–HDL-C goals
AND
Persistent fasting
hypertriglyceridemia
≥500 mg/dL
