2013 ACC/AHA

Question 1

Clinical ASCVD if yes and age less than or equal to 75

–>

Answer 1

high intensity statin

Question 2

clinical ASCVD, yes. And age greater than 75 OR not a candidate for high intensity statin

Answer 2

Mod intensity statin

Question 3

age greater than 75 with clinical ASCVD–>

Answer 3

mod intensity statin

Question 4

NO ASCVD but LDL > or = to 190mg/dl

Answer 4

high intensity statin

Question 5

NO ascvd and no high ldl 190 but

Diabetes 1 or 2 and age 40-75

Answer 5

Mod I statin

Question 6

NO ascvd and no high ldl 190 but

Diabetes 1 or 2 and age 40-75 and estimated 10 y ASCVD risk > 7.5%

Answer 6

High Intensity statin

Question 7

no ASCVD; NO LDL 190mg/dl; NO diabetes 1 or 2

But 7.5% estimated 10 y ASCVD risk and age 40-75

Answer 7

MOD to high intensity statin

Question 8

High vs mod vs low intensity statin:

Answer 8

high- LDL-C reduction of 50% from untreated baseline

Mod intensity statin - 30-< 30%.

Question 9

atorvastatin 40-80mg

Answer 9

HIGH

Question 10

Rosuvastatin 20-40

Answer 10

high

Question 11

atorvastatin 10-20

Answer 11

MOD

Question 12

Rosuvastatin 5-10mg

Answer 12

MOD

Question 13

Simvastatin 20-40mg

Answer 13

MOD

Question 14

Pravastatin 40-80mg

Answer 14

MOD

Question 15

Lovastatin 40mg

Answer 15

MOD

Question 16

Fluvastatin XL 80 mg

Answer 16

MOD

Question 17

Fluvastatin 40mg bid

Answer 17

MOD

Question 18

Pitavastatin 2-4mg

Answer 18

MOD

Question 19

simvastatin 10 mg

Answer 19

Low

Question 20

pravastatin 10-20mg

Answer 20

low

Question 21

lovastatin 20mg

Answer 21

low

Question 22

fluvastatin 20-40mg

Answer 22

low

Question 23

pitavastatin 1mg

Answer 23

low

Question 24

if age 40-75 and LDL-C 70-189mg/dl based on estimated 10 year risk

Answer 24

initiate statin

Question 25

eg1) age 21-39, no complications, but 10y risk is high-->

Answer 25

mod to high statin

Question 26

eg2) age 21-39, no complications, but 10y risk is low to mod risk 10y risk

Answer 26

consider additional factors prior to treatment

Question 27

eg3) 21-39, has ASCVD

Answer 27

high I statin

Question 28

eg4) 21-39, DM type 1 or 2, low to mod 10 y risk

Answer 28

mod I statin

Question 29

eg5) 21-39, DM type 1 or 2, high 10 y risk,

Answer 29

high I statin

Question 30

eg6) 40-75, LDL 70-189, high 10 y risk

Answer 30

MOD to high after discuss with clinicians

Question 31

eg7) 40-75, LDL> 190 mg/dl

Answer 31

high I statin

Question 32

eg8) 40-75, LDL > 70-189mg/dl, mod 10 y risk,

Answer 32

Mod stat after discussion with clinicians

Question 33

eg9) 40-75, history of previous ASCVD

Answer 33

MOD to high statin

Question 34

age >75 and has clinical ASCVD

Answer 34

mod to high

Question 35

age > 75 and has LDL > than or equal to 190

Answer 35

mod to high

Question 36

age >75 with DM Type 1 or 2

Answer 36

Mod

Question 37

LDL< 190 mg/dl

Answer 37

consider additional factors prior to treatment