Laboratory Test Information Guide

Details for Cholesterol-Total,Plasma

Test Name: Cholesterol-Total,Plasma
Alternate Name(s):  
Laboratory: Core
Specimen Type: 4.5 mL Green (Lithium Heparin) top Vacutainer

Pediatric:
0-2 years: 0.5 mL Green pk.
2-10 years: 3 mL Green top
Collection Information:  
Requisition: GENERAL LABORATORY REQUISITION
Test Schedule: Monday - Friday
0800 - 1600 h
Turnaround time from when specimen
is received in testing laboratory:
 
Routine
24 hours
Stat
 
 
Reference Range: See Interpretive comments
Effective Date: 2008-11-15
Revised Date: 2018-12-05
Critical Value:  
Interpretive Comments: Cholesterol target levels are dependent upon patient 10-year risk of coronary artery disease (Can J Cardiol 201). “Cardiovascular Age” and the Framingham Risk Score (FRS) calculation is provided at https://www.ccs.ca/en/resources/calculators-forms

Table Treatment Thresholds and Target Lipid Levels*



Risk LevelInitiate therapy if:Primary Target LDL-CAlternate Target
High
FRS ≥20%Consider treatment in<2.0 mmol/L orApo B <0.8 g/L
all patients ≥ 50% decrease LDL-C Non HDL-C <2.6 mmol/L
Intermediate
FRS 10%-19%LDL-C ≥3.5 mmol/L<2 mmol/L orApo B <0.80 mg/L
>50% decrease LDL-CNon HDL-C <2.6
Apo B ≥1.2 g/L or Non-HDL-C
≥4.3 mmol/L
Low
FRS <10%LDL-C ≥ 5.0 mmol/L>50% decrease LDL-C
Familial hypercholesterolemia


FRS: Framingham Risk Score
2016 Canadian Cardiovascular Society Guidelines for the management of dyslipidemia for the prevention of cardiovascular disease in the adult. Can J Cardiol. 2016;32:1263-82
Special Processing:  
Comments:  
Method of Analysis: Enzymatic Colorimetric
Critical Information Required:  
Storage & Shipment:  
System Codes: 
Cerner
CHOL
 
Referred To:  

Questions? Comments? Contact Laura Gopaul