A1C lecture part 3

Question 1

Atherosclerotic Cardiovascular Disease (ASCVD)
Previous slide and…
Acute Coronary Syndromes (ACS)
Stable or Unstable Angina
Coronary/arterial/other Revascularization (stent placement)

Question 2

Modifiable Risk Factors
Food choices
Physical inactivity
Obesity
Excessive alcohol intake
Men 15+ drinks/wk
Women 8+ drinks/wk
Tobacco use
Lipid panel?
BP

Question 3

Non-Modifiable Risk Factors
Family hx of premature CHD
CHD in male 1st degree relative <55yo
CHD in female 1st degree relative <65yo
Age
Men >45 yo
Women >55 yo
HTN
BP >140/90 mmHg
Anti-HTN meds
Diabetes
CKD
Sex (Male)
Race (African American)

Question 4

Statin Therapy Intensity
Daily dose lowers LDL by >50%
Atorvastatin 40-80mg
Rosuvastatin 20-40mg

Question 5

Emphasize healthy lifestyle changes

Answer 5

Low Risk

Question 6

Emphasize healthy lifestyle changes
If risk-enhancing factors, consider moderate intensity statin

Answer 6

Borderline Risk

Question 7

Emphasize healthy lifestyle changes
Evaluate for risk-enhancing factors
Moderate-intensity statin

Answer 7

Intermediate Risk

Question 8

Emphasize healthy lifestyle changes
High-intensity statin

Answer 8

High Risk