Lipid Screening in Children Clinical Pathway — Primary Care
Lipid Screening in Children Clinical Pathway — Primary Care
Risk Factors for Cardiovascular Disease
Consider any risk factor when determining a child’s eligibility for elevated-risk screening.
- Obesity (BMI ≥ 95th percentile)
- Family history of early coronary artery disease (CAD)
- 1st or 2nd degree family member with coronary artery disease < 55 yrs in a male and
< 65 yrs in a female - Any coronary artery disease, including heart attack, stent placement, bypass graft, stroke
- 1st or 2nd degree family member with coronary artery disease < 55 yrs in a male and
- Diabetes (type 1 or type 2), insulin resistance with comorbidities
- Dyslipidemia, non-alcoholic fatty liver disease, polycystic ovarian syndrome
- Hypertension
- Familial hypercholesterolemia
- Chronic inflammatory or autoimmune disease
- JIA, SLE, IBD, HIV
- Childhood cancer survivor
- Cardiotoxic chemotherapy, stem cell transplant, chest radiation
- Elevated Lipoprotein(a)
- A type of lipoprotein that is a genetic independent risk factor for heart disease
- Chronic kidney disease (pre-dialysis), end-stage renal disease
- Cardiac disease
- Aortic stenosis, hypertrophic cardiomyopathy and other cardiomyopathies,
pulmonary hypertension - Status post coronary artery translocation for anomalous coronary arteries or transposition of the great arteries
- History of Kawasaki disease with persistent coronary artery aneurysm
- Aortic stenosis, hypertrophic cardiomyopathy and other cardiomyopathies,
- Solid organ transplant vasculopathy
References