[2] Sidebars provide more detailed information to assist in defining and interpreting elements in the boxes. Shape Description Rounded rectangles represent a clinical state or condition Hexagons represent a decision point in the guideline, formulated as a question that can be answered Yes or No Rectangles represent an action in the process of care Ovals represent a link to another section within the guideline VA/DoD CPG for the Management of Dyslipidemia for Cardiovascular Risk Reduction Provider Summary Algorithm: Management of Dyslipidemia for Cardiovascular Risk Reduction * There are no evidence-based recommendations for patients under age 40 because there is no evidence for the benefit of lipid screening and treatment within this age group. In patients younger than 40 years old interested in pursuing lipid testing and management, shared decision making is recommended to discuss the risks and unknown benefit of pharmacotherapy, with therapeutic lifestyle changes being the primary focus of CVD primary prevention. Suggest regular aerobic activity of any intensity or duration. Although incremental benefit is associated with increased doses of physical activity, lower doses including leisure time activity (i.e., walking, landscaping, washing dishes) are associated with benefit when compared to mostly sedentary behavior. A provider s considerations when recommending physical activity might include a patient s motivation, functional capacity, and physical activity preferences. Abbreviations: ACS: acute coronary syndrome; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DM: diabetes mellitus; EF: ejection fraction; ESRD: end-stage renal disease; HF: heart failure; LDL: low-density lipoprotein cholesterol; mg/dL: milligrams per deciliter; MI: myocardial infarction; PCI: percutaneous coronary intervention VA/DoD CPG for the Management of Dyslipidemia for Cardiovascular Risk Reduction Provider Summary Sidebar 1: CVD and Equivalents MI or ACS CABG/PCI Stable CAD (angina or equivalent) Atherosclerotic CVA/TIA PAD (claudication or AAA) Does not include asymptomatic incidental finding of potential atherosclerosis (e.g.