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Are lipid panels obtained in the hospital accurate?

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Are lipid panels obtained in the hospital accurate?

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A. Studies have shown that lipid panels obtained in the first 6-12 hours after the onset of acute myocardial infarction are reflective of the patients baseline steady state lipid levels. At that time frame an acute phase response occurs, with a fall in total cholesterol levels and LDL cholesterol levels. This can decrease LDL levels by as much as 50% below baseline values. It can take 4 to 6 weeks for the levels to return to baseline. Studies have shown that despite the fall in absolute levels of LDL, the acute phase response make LDL more prone to oxidation and HDL proinflammatory. Patients are thus not protected from atherosclerosis during this time frame. A nonfasting lipid panel obtained on or shortly after admission can be used to assess the patients baseline lipid levels, diagnose lipoprotein disorders, and guide the statin starting dose. Lipid profiles obtained 24 hours to 6 weeks after myocardial infarction onset or after CABG, should be interpreted know the LDL level may be as

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