Alberta Precision Laboratories

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Organization:

Alberta Precision Laboratories

Message Alert:

PLEASE NOTE: This Test Directory is in an interim state and due to changes pertaining to the DynaLIFE transition, performing site for routing has not been updated. Please refer to Laboratory Information System for appropriate routing.

Test Name/Synonym:

Lipid Panel (Synonym: LIPID PROFILE, LIPID BATTERY, LIPIDS, PROFILE, CHOLESTEROL, HDL, LDL)

Test Includes:

Total Cholesterol, HDL Cholesterol, LDL Cholesterol Calculated, Non HDL Cholesterol, and Triglycerides.

Ordering Alert:

For individual test orders see Total cholesterol, Triglycerides, Cardiovascular Disease Risk Assessment

LABID (Connect Care):

LAB18

Specimen Type:

Blood

Primary Container:

MINT LIHEP PST

Alternate Containers:

GOLD SST

Minimum Collection Volume:

0.5 mL plasma or serum

Specimen Collection Requirements:

For those sites that refer specimens to Edmonton Base Lab or the Diagnostic and Scientific Centre, see Lipid panel in the former DynaLIFE Medical Labs Test Directory or contact Specimen Control at 1-800-661-9876.

Test Resources:

Calgary Zone: Microcollection Minimum Whole Blood Volumes

General Laboratory Requisition – 21302

Method and Interpretation of Results:

Less than 18 years:
The following result comment will be attached to the Non-HDL-C result:

Lipid Profile acceptable limits relative to dyslipidemia and atherosclerosis risk: Total Cholesterol Acceptable <4.40 mmol/L HDL-C Acceptable >1.16 mmol/L LDL-C Acceptable <2.84 mmol/L Triglycerides Acceptable <0.85 mmol/L (0-9 years) OR <1.02 mmol/L (10-17 years) Non-HDL-C Acceptable <3.10

Greater than or equal to 18 years:

Total cholesterol:

Result Comment:

Total Cholesterol and HDL-C used for screening, risk assessment and to calculate non-HDL-C. Discover how you can take action at http://cholesterol-tool.ucalgary.ca

HDL – C:

Result Comment:

HDL-C limits indicate risk for metabolic syndrome.

Non HDL – C:

Result Comments:

FRS Calculation Resources can be found at www.myhealth.alberta.ca/Alberta/Pages/Heart-Disease-Risk-Calculator.aspx
If non-HDL-C greater than or equal to 4.20 mmol/L: If non-HDL-C greater than or equal to 4.20 mmol/L in primary prevention setting for low-risk patients with FRS 5% - 9.9% or intermediate risk patients, consider therapy. Therapy also suggested in low-risk patients with non-HDL-C greater than or equal to 5.8 mmol/L. (2021 CCS Guidelines. Can J Cardiol. 2021; S0828)

LDL – C:

Result Comments:

LDL-C was calculated using the NIH LDL-C equation.
If triglycerides greater than 9.04 mmol/L then LDL-C cancelled and comment added to LDL-C result: LDL-C cannot be calculated. Triglycerides exceed 9.04 mmol/L. Recollect in a fasting state or refer to non-HDL-C or apoB.
If LDL-C greater than or equal to 3.50 mmol/L: If LDL-C greater than or equal to 3.50 mmol/L in primary prevention setting for low-risk patients with FRS 5%-9.9% or intermediate-risk patients, consider therapy. Therapy is also suggested in low-risk patients with LDL-C greater than or equal to 5.00 mmol/L”
If triglycerides greater than or equal to 1.50 mmol/L: Triglycerides exceed 1.50 mmol/L. For dyslipidemia assessment, refer to ApoB or non-HDL-C instead of LDL-C.

Triglycerides:

Result Comment:

If nonfasting, triglycerides less than 2.00 mmol/L acceptable.

Testing Schedule:

Daily

Reference Interval:

Pediatric patients less than 18 years
Lipid Test	Gender	Flagging Limits	Units
Cholesterol, total	All	N/A	mmol/L
HDL - C		N/A
LDL - C		N/A
Non-HDL - C		N/A
Triglycerides		N/A

Adults patients greater than or equal to 18 years
Lipid Test	Gender	Flagging Limits	Units
Total cholesterol	All	Greater than 5.20	mmol/L
HDL - C	Male	Less than 1.00
	Female	Less than 1.30
	U/X	Less than 1.30
Non-HDL - C	ALL	Greater than or equal to 4.20
LDL - C		Greater than or equal to 3.50
Triglycerides		Greater than or equal to 1.70

Testing Area:

Biochemistry

Performing Site:

Calgary	Diagnostic and Scientific Centre Foothills Medical Centre
Central	Red Deer Regional Hospital Centre
Edmonton	Edmonton Base Lab University of Alberta Hospital
North	Grande Prairie Regional Hospital
South	Lethbridge Regional Hospital Medicine Hat Regional Hospital

Additional Test Information:

Fasting specimen not required.
If physician has requested fasting: Minimum 12 hours, but not more than 16 hours (8 hours if diabetic)

LDL – C is calculated by the NIH LDL – C equation effective November 5, 2023.

Refer to Lipid panel and individual lipid test reporting changes in adults and a new equation to calculate LDL-C in pediatrics and adults (albertahealthservices.ca) for more information.

Last Updated On:

Tuesday, December 17, 2024