Atp iii

National Cholesterol Education Program

High Blood Cholesterol
N A T I O N A L
N A T I O N A L H E A R T ,

Detection

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on

Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report

Evaluation

Treatment

I N S T I T U T E S
L U N G , A N D

O FB L O O D

H E A L T H
I N S T I T U T E

High Blood Cholesterol

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on

Detection

Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)

Evaluation

Final Report

Treatment

National Cholesterol Education Program National Heart, Lung, and BloodInstitute National Institutes of Health NIH Publication No. 02-5215 September 2002

Acknowledgments
National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Members: Scott M. Grundy, M.D., Ph.D. (Chair of the panel), Diane Becker, Sc.D., M.P.H., R.N., Luther T. Clark, M.D., Richard S. Cooper, M.D.,Margo A. Denke, M.D., Wm. James Howard, M.D., Donald B. Hunninghake, M.D., D. Roger Illingworth, M.D., Ph.D., Russell V. Luepker, M.D., M.S., Patrick McBride, M.D., M.P.H., James M. McKenney, Pharm.D., Richard C. Pasternak, M.D., F.A.C.C., Neil J. Stone, M.D., Linda Van Horn, Ph.D., R.D. Ex-officio Members: H. Bryan Brewer, Jr., M.D., James I. Cleeman, M.D. (Executive Director of the panel), Nancy D.Ernst, Ph.D., R.D., David Gordon, M.D., Ph.D., Daniel Levy, M.D., Basil Rifkind, M.D., Jacques E. Rossouw, M.D., Peter Savage, M.D. Consultants: Steven M. Haffner, M.D., David G. Orloff, M.D., Michael A. Proschan, Ph.D., J. Sanford Schwartz, M.D., Christopher T. Sempos, Ph.D. Staff: Susan T. Shero, M.S., R.N., Elaine Z. Murray, Susan A. Keller, M.P.H., M.S., B.S.N. Manuscript Preparation: AngelaJ. Jehle National Cholesterol Education Program Coordinating Committee The Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults was approved by the National Cholesterol Education Program Coordinating Committee, which comprises the following organizational representatives: Member Organizations: National Heart, Lung, and Blood Institute –Claude Lenfant, M.D., (Chair), James I. Cleeman, M.D. (Coordinator), American Academy of Family Physicians – Theodore G. Ganiats, M.D., American Academy of Insurance Medicine – Gary Graham, M.D., American Academy of Pediatrics – Ronald E. Kleinman, M.D, American Association of Occupational Health Nurses – Pamela Hixon, B.S.N., R.N., C.O.H.N-S, American College of Cardiology – Richard C. Pasternak,M.D., F.A.C.C., American College of Chest Physicians – Gerald T. Gau, M.D., American College of Nutrition – Harry Preuss, M.D., American College of Obstetricians and Gynecologists – Thomas C. Peng, M.D., American College of Occupational and Environmental Medicine – Ruth Ann Jordan, M.D., American College of Preventive Medicine – Lewis H. Kuller, M.D., Dr.P.H., American Diabetes Association, Inc. –Alan J. Garber, M.D., Ph.D., American Dietetic Association – Linda Van Horn, Ph.D., R.D., American Heart Association – Scott M. Grundy, M.D., Ph.D., American Hospital Association – Sandra Cornett, Ph.D., R.N., American Medical Association – Yank D. Coble, Jr., M.D., American Nurses Association – To be named, American Osteopathic Association – Michael Clearfield, D.O., American PharmaceuticalAssociation – James M. McKenney, Pharm.D., American Public Health Association – Stephen Havas, M.D., M.P.H., M.S., American Red Cross – Donald Vardell, M.S., Association of Black Cardiologists – Karol Watson, M.D., Ph.D., Association of State and Territorial Health Officials – Joanne Mitten, M.H.E., Citizens for Public Action on Blood Pressure and Cholesterol, Inc. – Gerald J. Wilson, M.A., M.B.A.,...