Cardiovascular Disease

Question 1

1) Which population is most highly recommended to get AAA screening?
2) What level recommendation is this?
3) What is the second highest recommendation regarding AAA screening?

Answer 1

1-2) MEN who have EVER smoked between age of 65-75 yo should have ONE TIME screening for AAA: B level recommendation

3) MEN who have NEVER smoked between ages 65-75 can be selectively screened for AAA based upon family history and other risk factors.

Question 2

What are the recommendations regarding women and AAA screening? (2)

Answer 2

1) D level: recommend AGAINST AAA screening for women who have NEVER smoked and have NO family history AAA
2) I Level: Evidence is insufficient to recommend screening for AAA in women with history of smoking or family hx AAA

Question 3

1) Under what circumstances does USPSTF recommend statin use as primary prevention for CVD?
2) What level recommendation is this?

Answer 3

1) Adults without a history of CVD meeting the following criteria:
- 40-75 yoa
- More than 1 CVD risk factor (HLD, HTN, DM, smoking)
- ASCVD risk of 10%

2) B Level