THE SECOND report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II, or ATP II) presents the National Cholesterol Education Program's updated recommendations for cholesterol management. It is similar to the first in general outline, and the fundamental approach to treatment of high blood cholesterol is comparable. This report continues to identify low-density lipoproteins (LDL) as the primary target of cholesterol-lowering therapy. As in the first report, the second report emphasizes the role of the clinical approach in primary prevention of coronary heart disease (CHD). Dietary therapy remains the first line of treatment of high blood cholesterol, and drug therapy is reserved for patients who are considered to be at high risk for CHD. However, the second report contains new features that distinguish it from the first. These include the following:
Increased emphasis on
See also pp 3002 and 3009.
Grundy SM, Bilheimer D, Chait A, Clark LT, Denke M, Havel RJ, Hazzard WR, Hulley SB, Hunninghake DB, Kreisberg RA, KrisEtherton P, McKenney JM, Newman MA, Schaefer EJ, Sobel BE, Somelofski C, Weinstein MC, Brewer HB, Cleeman JI, Donato KA, Ernst N, Hoeg JM, Rifkind BM, Rossouw J, Sempos CT, Gallivan JM, Harris MN, Quint-Adler L. Summary of the Second Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II). JAMA. 1993;269(23):3015–3023. doi:10.1001/jama.1993.03500230097036