2013 ACC/AHA Flashcards
Clinical ASCVD if yes and age less than or equal to 75
–>
high intensity statin
clinical ASCVD, yes. And age greater than 75 OR not a candidate for high intensity statin
Mod intensity statin
age greater than 75 with clinical ASCVD–>
mod intensity statin
NO ASCVD but LDL > or = to 190mg/dl
high intensity statin
NO ascvd and no high ldl 190 but
Diabetes 1 or 2 and age 40-75
Mod I statin
NO ascvd and no high ldl 190 but
Diabetes 1 or 2 and age 40-75 and estimated 10 y ASCVD risk > 7.5%
High Intensity statin
no ASCVD; NO LDL 190mg/dl; NO diabetes 1 or 2
But 7.5% estimated 10 y ASCVD risk and age 40-75
MOD to high intensity statin
High vs mod vs low intensity statin:
high- LDL-C reduction of 50% from untreated baseline
Mod intensity statin - 30-< 30%.
atorvastatin 40-80mg
HIGH
Rosuvastatin 20-40
high
atorvastatin 10-20
MOD
Rosuvastatin 5-10mg
MOD
Simvastatin 20-40mg
MOD
Pravastatin 40-80mg
MOD
Lovastatin 40mg
MOD
Fluvastatin XL 80 mg
MOD
Fluvastatin 40mg bid
MOD
Pitavastatin 2-4mg
MOD
simvastatin 10 mg
Low
pravastatin 10-20mg
low
lovastatin 20mg
low
fluvastatin 20-40mg
low
pitavastatin 1mg
low
if age 40-75 and LDL-C 70-189mg/dl based on estimated 10 year risk
initiate statin
eg1) age 21-39, no complications, but 10y risk is high–>
mod to high statin
eg2) age 21-39, no complications, but 10y risk is low to mod risk 10y risk
consider additional factors prior to treatment
eg3) 21-39, has ASCVD
high I statin
eg4) 21-39, DM type 1 or 2, low to mod 10 y risk
mod I statin
eg5) 21-39, DM type 1 or 2, high 10 y risk,
high I statin
eg6) 40-75, LDL 70-189, high 10 y risk
MOD to high after discuss with clinicians
eg7) 40-75, LDL> 190 mg/dl
high I statin
eg8) 40-75, LDL > 70-189mg/dl, mod 10 y risk,
Mod stat after discussion with clinicians
eg9) 40-75, history of previous ASCVD
MOD to high statin
age >75 and has clinical ASCVD
mod to high
age > 75 and has LDL > than or equal to 190
mod to high
age >75 with DM Type 1 or 2
Mod
LDL< 190 mg/dl
consider additional factors prior to treatment
