May be classified as primary, which includes familial hyperlipidemia. Endocrine and metabolic. Diabetes, hypothyroidism, Cushing's or Addison's diseases, hepatic disease, nephrotic syndrome. Evaluation and Initial Therapy Recommendations of the American Heart Association and the American College of Physicians differ.
Initial classification is based on total cholesterol.
200 to 240 borderline. Can also classify on the basis of LDL level. Repeat every 5 years. Repeat lipid profile annually to monitor LDL level. In patients who do not reach target LDL level, may change drugs or add a second agent to regimen.