2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

作者：Scott M. Grundy, Neil J. Stone, Alison L. Bailey, Craig T. Beam, Kim K. Birtcher, Roger Scott Blumenthal, Lynne T. Braun, Sarah D. de Ferranti, Joseph Faiella-Tommasino, Daniel E. Forman, Ronald B Goldberg, Paul A. Heidenreich, Mark Andrew Hlatky, Daniel W. Jones, Donald M. Lloyd‐Jones, Nuria Lopez-Pajares, Chiadi E. Ndumele, Carl E. Orringer, Carmen Peralta, Joseph J. Saseen, Sidney C. Smith, Laurence S. Sperling, Salim S. Virani, Joseph Yeboah · 发表于：Circulation · 年份：2019 · DOI：10.1161/cir.0000000000000625 · 被引用次数：6261 · 研究领域：Lipoproteins and Cardiovascular Health、Health Systems, Economic Evaluations, Quality of Life、Antiplatelet Therapy and Cardiovascular Diseases

Since 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated scientific evidence into clinical practice guidelines with recommendations to improve cardiovascular health. These guidelines, which are based on systematic methods to evaluate and classify evidence, provide a foundation for the delivery of quality cardiovascular care. The ACC and AHA sponsor the development and publication of clinical practice guidelines without commercial support, and members volunteer their time to the writing and review efforts. Clinical practice guidelines provide recommendations applicable to patients with or at risk of developing cardiovascular disease (CVD). The focus is on medical practice in the United States, but these guidelines are relevant to patients throughout the world. Although guidelines may be used to inform regulatory or payer decisions, the intent is to improve quality of care and align with patients’ interests. Guidelines are intended to define practices meeting the needs of patients in most, but not all, circumstances, and should not replace clinical judgment. Recommendations for guideline-directed management and therapy, which encompasses clinical evaluation, diagnostic testing, and both pharmacological and procedural treatments, are effective only when followed by both practitioners and patients. Adherence to recommendations can be enhanced by shared decision-making between clinicians and patients, with patient engagement in sele...