Cardiovascular risk factors

Question 1

What are common cardiovascular risk factors?

Answer 1

• childhood obesity - BMI>25 and/or waist circumference > 80 (women) >90 (Asian men) >94 (Caucasian men) - family history - familial hypercholesterolaemia - smoking - male - hypertension - diabetes - ATSI status

Question 2

What is the definition of metabolic syndrome?

Answer 2

Abdominal obesity (W/C> 80 women, >90 Asian men, >94 Caucasian men) plus any 2 of - TG > 1.7 - HDL 130 or dias >85 - fasting plasma glucose >5.6 - taking lipid lowering medication - taking antihypertensive medication - taking hypoglycaemics/ insulin

Question 3

What is significant family history of cardiovascular disease?

Answer 3

1 more more first degree relatives symptomatic IHD

Question 4

Relating to the Australian absolute cardiovascular disease risk calculator: - what is the correct age group to use it in? - what risk factor does it use? - what 5 year risk percentage require treatment? - which factors would trump risk categories?

Answer 4

• 45 to 74 or 35-74 if ATSI - RF: age, gender, BP, smoking, lipids, BSL - 10-15% intermediate risk, > 15% high risk - (1)existing symptomatic cardiovascular disease, diabetes and over 60 years old, microalbuminuria, ATSI, family history (2)existing asymptomatic cardiovascular disease, moderate-severe renal failure, proteinuria, familial hyperlipidaemia,total cholesterol >7.5, BP>180 systolic and/or >110 diastolic