OBJECTIVES: The purpose of this study was to investigate the utility of the new National @entity165 Education Program (NCEP) III guidelines in a group of young adults. BACKGROUND: These guidelines have been hailed as an improvement in their potential to identify individuals at risk for @entity301 ( @entity301 ) complications. Compared with the NCEP II, the new guidelines will increase the number of @entity1 who qualify for medical management. However, the effectiveness of these guidelines to identify young adults at risk for a @entity299 is yet to be studied. METHODS: A retrospective review of clinical data from young adults (age <or=55 years for @entity1 and <or=65 years for @entity1 ) hospitalized for acute @entity583 over a three-year period was conducted. @entity1 with a history of @entity301 or @entity301 equivalent were excluded. Using the NCEP III guidelines, we calculated a 10-year risk for coronary events on all @entity1 . RESULTS: A total of 222 @entity1 met criteria for inclusion. The mean age was 50 years and 25% were @entity1 . Mean lipid levels were all within the normal range; however, rates of smoking and @entity28 were high. When the 10-year risk of these @entity1 was stratified by the number of risk factors and low-density lipoprotein @entity165 level, only 25% met criteria to qualify for pharmacotherapy. For @entity1 in this population, only 18% met criteria for treatment. CONCLUSIONS: The new guidelines offer multiple new features but have a tendency to underappreciate the risk for disease in young adults. To improve performance in young adults, statistical adjustments may be necessary.

Preventing @entity583 in the young adult in the first place: how do the National XXXX Education Panel III guidelines perform?

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity301 :: ('MESH:D003327', 'Disease') :: ['CHD', 'coronary heart disease'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac event'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['Cholesterol', 'cholesterol']
@entity165 :: (MESH:D002784,Chemical) :: ['Cholesterol']
