Cardiovascular Risk

Question 1

What is QRISK

Answer 1

Measures risk of a cardiovascular event
Takes into account factors like BMI, HT, ethnicity, family history

Question 2

When should you use statins for CVD?

Answer 2

if qrisk is over 10%

Question 3

Dont use for QRISK for

Answer 3

type 1 DM
over 85
eGFR less than 60ml/min or albuminuria

Question 4

What is the primary prevention for CVD risk? with and without type 2 DM

Answer 4

20mg atorvastatin daily
If QRISK over 10%

Question 5

What is the primary prevention for CVD risk for T1DM?

Answer 5

Atorvastatin 20mg daily for ALL
Offer when over 40yrs or had DM for more than 10 yrs

Question 6

What is secondary prevention treatment

Answer 6

atorvastatin 80mg daily and lifestyle

Question 7

What is secondary prevention treatment for CKD

Answer 7

atorvastatin 20mg a day. if egfr more than 30, increase dose

Question 8

What is the target reduction for non-HDL cholesterol with statin use

Answer 8

40%

Question 9

What monitoring is needed in a follow up when on statins

Answer 9

lipid profile
LFTs
at 12 months and every year
Up titrate? then every 3months

Question 10

Side effects of statins

Answer 10

muscle symptoms
symmetrical pain/weakness
from increased creatine kinase

Can cause GI disturbances
new onset type2 DM
sleep disturbances
Intercranial haemorrhage