Table 3

Treatment options

TREATMENT APPROACHPATIENT COHORTLDL-C TARGETShsCRP TESTINGBENEFITSRISKS
Guideline-based
(treat to target)
High FRS
or
High LDL-C level
YesSelected groupsPeer support
Consistency
Optimization of benefits
Suboptimal physician uptake
Suboptimal patient compliance
Reliance on surrogate markers and targets
ExpedientHigh FRSNoNoSimplicity
Lower cost
Two-thirds of benefit realized
Maximal benefit not realized
No prospective validation studies exist
  • FRS—Framingham risk score, hsCRP—high-sensitivity C-reactive protein, LDL-C—Low density lipoprotein cholesterol.