Algorithm for guideline-directed medical therapy for patients with stable ischemic heart disease. The use of bile acid sequestrant is relatively contraindicated when triglycerides are 200 mg/dL or higher and contraindicated when triglycerides are 500 mg/dL or higher. Dietary supplement niacin must not be used as a substitute for prescription niacin. (Reproduced, with permission, from Fihn SD et al; American College of Cardiology Foundation/American Heart Association Task Force. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. Circulation. 2012 Dec 18;126(25):e354–471. © 2012 American Heart Association, Inc.) Source: Heart Disease, Current Medical Diagnosis & Treatment 2018 Citation: Papadakis MA, McPhee SJ, Rabow MW. Current Medical Diagnosis & Treatment 2018; 2017 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/2192/cmdt18_ch10_f005-1.png&sec=168191257&BookID=2192&ChapterSecID=168190671&imagename= Accessed: October 13, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved