Lipid Panel with Ratios
Quest Diagnostics
Sample type: Serum
Requires fasting: Yes
Phlebotomy required
Details
Lipid Panel with Ratios - This panel measures serum cholesterol and triglyceride (TG) levels. It includes evaluation of the LDL/HDL ratio (calculated), cholesterol/HDL-C ratio (calculated), HDL-C, LDL-C (calculated), non-HDL-C (calculated), total cholesterol, and TG. Comprehensive lipid assessment aids in evaluating cardiovascular disease (CVD) risk and the likelihood of an ischemic event. It is also useful for the prevention and management of atherosclerotic disease and diagnosis of metabolic syndrome.
- Triglycerides
- Total Cholesterol
- HDL Cholesterol
- Non-HDL Cholesterol
- Total Cholesterol / HDL Ratio
- LDL Cholesterol (by calculation)
- LDL/HDL Ratio
Estimated days for results: Results should be available in 2 - 5 business days after the sample is collected
Details
Lipid Panel with Ratios - This panel measures serum cholesterol and triglyceride (TG) levels. It includes evaluation of the LDL/HDL ratio (calculated), cholesterol/HDL-C ratio (calculated), HDL-C, LDL-C (calculated), non-HDL-C (calculated), total cholesterol, and TG. Comprehensive lipid assessment aids in evaluating cardiovascular disease (CVD) risk and the likelihood of an ischemic event. It is also useful for the prevention and management of atherosclerotic disease and diagnosis of metabolic syndrome [1].
CVD is the leading cause of death in the United States. Individuals with high LDL-C and TG levels are at elevated risk for developing CVD and having an ischemic event [2,3].
The American Heart Association recommends that Americans aged 20 and above have their lipid levels tested every 4 to 6 years. Children should have their cholesterol tested for the first time between ages 9 and 11 and again between ages 17 and 21. Testing should start earlier if there is a family history of high cholesterol [4].
This panel reports a calculated LDL/HDL ratio in addition to all the components included in Lipid Panel, Standard (test code 7600). High LDL/HDL ratio may be a stronger predictor of coronary heart disease than LDL and HDL alone in patients with hypertriglyceridemia [5]. Treatment with N-acetyl cysteine for acetaminophen overdose may generate a falsely low result for cholesterol [6]. Venipuncture immediately after or during administration of the painkiller metamizole (dipyrone) may also lead to falsely low results for cholesterol [7].
Note: Any or all individual tests from a panel can be ordered separately.The results of this test should be interpreted in the context of pertinent clinical and family history as well as physical examination findings.
The American Heart Association recommends that Americans aged 20 and above have their lipid levels tested every 4 to 6 years. Children should have their cholesterol tested for the first time between ages 9 and 11 and again between ages 17 and 21. Testing should start earlier if there is a family history of high cholesterol [4].
This panel reports a calculated LDL/HDL ratio in addition to all the components included in Lipid Panel, Standard (test code 7600). High LDL/HDL ratio may be a stronger predictor of coronary heart disease than LDL and HDL alone in patients with hypertriglyceridemia [5]. Treatment with N-acetyl cysteine for acetaminophen overdose may generate a falsely low result for cholesterol [6]. Venipuncture immediately after or during administration of the painkiller metamizole (dipyrone) may also lead to falsely low results for cholesterol [7].
Note: Any or all individual tests from a panel can be ordered separately.The results of this test should be interpreted in the context of pertinent clinical and family history as well as physical examination findings.
References
1. Stone NJ, et al. Circulation. 2014;129(25 Suppl 2):S1-S45.
2. CDC. Heart disease facts. Accessed January 3, 2022. https://www.cdc.gov/heartdisease/facts.htm
3. Arbel Y, et al. Card Diabetol. 2016;15:11.
4. Grundy SM, et al. Circulation. 2019;139(25):e1082-e1143.
5. Manninen V, et al. Circulation. 1992;85(1):37-45.
6. Cholesterol. Instructions for use. Beckman Coulter Inc; 2015.
7. Gascon N, et al. Clin Chem. 1993;39(6):1033-1036.
1. Stone NJ, et al. Circulation. 2014;129(25 Suppl 2):S1-S45.
2. CDC. Heart disease facts. Accessed January 3, 2022. https://www.cdc.gov/heartdisease/facts.htm
3. Arbel Y, et al. Card Diabetol. 2016;15:11.
4. Grundy SM, et al. Circulation. 2019;139(25):e1082-e1143.
5. Manninen V, et al. Circulation. 1992;85(1):37-45.
6. Cholesterol. Instructions for use. Beckman Coulter Inc; 2015.
7. Gascon N, et al. Clin Chem. 1993;39(6):1033-1036.
What type of sample is required for this test?
1 mL serum
Test Resources
For more information, please consult your healthcare provider.
2–5 business days
Male (mg/dL) Female (mg/dL)
Total Cholesterol
<20 Years <170 <170
≥20 Years <200 <200
HDL Cholesterol
<20 Years >45 >45
≥20 Years ≥40 ≥50
Triglycerides
≤9 Years <75 <75
10–19 Years <90 <90
≥20 Years <150 <150
LDL-Cholesterol (Calc)
<20 Years <110 <110
≥20 Years <100 <100
Cholesterol/HDL Ratio (Calc)
<5.0 <5.0
LDL/HDL Ratio (Calc)
Below Average Risk <2.28 <2.34
Average Risk 2.29–4.90 2.35–4.12
Moderate Risk 4.91–7.12 4.13–5.56
High Risk >7.13 >5.57
Non-HDL Cholesterol
<20 Years <120 <120
≥20 Years <130 <130
Total Cholesterol
<20 Years <170 <170
≥20 Years <200 <200
HDL Cholesterol
<20 Years >45 >45
≥20 Years ≥40 ≥50
Triglycerides
≤9 Years <75 <75
10–19 Years <90 <90
≥20 Years <150 <150
LDL-Cholesterol (Calc)
<20 Years <110 <110
≥20 Years <100 <100
Cholesterol/HDL Ratio (Calc)
<5.0 <5.0
LDL/HDL Ratio (Calc)
Below Average Risk <2.28 <2.34
Average Risk 2.29–4.90 2.35–4.12
Moderate Risk 4.91–7.12 4.13–5.56
High Risk >7.13 >5.57
Non-HDL Cholesterol
<20 Years <120 <120
≥20 Years <130 <130
Fasting for 9-12 hours before your blood draw is required.
- Fasting before a blood draw means you don't eat or drink anything except water.
- Your doctor should provide any special instructions related to fasting for your test. Always follow your doctor's instructions.
Blood Draw Options with Fullscript
Fullscript offers several convenient phlebotomy options to complete your lab testing:
Quest Diagnostics Patient Service Centers (PSC)
- Location: Visit a nearby Quest Diagnostics Patient Service Center.
- Cost: $10 sample collection fee (paid during lab order checkout).
- Scheduling: Schedule your appointment here. Appointments are recommended to reduce wait times. Walk-ins are accepted, but may experience delays. Aim to arrive 10 minutes before your appointment.
- Collection Instructions:
- Bring a valid ID.
- Bring your digital or printed requisition form, available in the Labs tab of your Fullscript account.
- Check-in: Scan the QR code from your confirmation email or follow kiosk instructions.
- More Info: Quest Diagnostics blood draw guide
Getlabs Mobile Phlebotomy
- Location: Sample collection at your home or office.
- Cost: $85 sample collection fee (paid during lab order checkout).
- Availability: Available in most locations – enter your ZIP code during checkout to confirm.
- Scheduling: Schedule your appointment here through your Fullscript account.
- Collection Instructions:
- Have your digital or printed requisition form and valid ID ready.
- Your phlebotomist will contact you by phone to coordinate arrival.
- More Info: Getlabs blood draw guide
Specimen
- Preferred Specimen(s): 1 mL serum
- Alternative: NA
- Minimum Volume: 0.5 mL
- Collection Instructions: NA
Storage and shipping instructions
- Transport Container: Transport tube
- Transport Temperature: Room Temperature
- Specimen Stability:
- Room temperature: 48 hours
- Refrigerated: 7 days
- Frozen: 28 days
- Reject Criteria:
- Gross hemolysis • Moderate to gross icterus • Anticoagulants other than heparin • Received frozen
State restrictions:
Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island
