Clinical Flashcards
What are normal values for a lipid panel?
Total cholesterol less 200mg/dL
LDL less than 130 mg/dL
HDL greater than 39 mb/dL
TAG less than 150mg/dL
What is the primary target for lipid therapy?
LDL b/c its the major athrogenic lipoprotein
Your patient has a TAG level of 509mg/dL what disease are they at increase risk for, and what would you recommend in addition to drug treatment?
pancreatitis
weight loss- can decrease TAG levels by 22% increase HDL slightly
Define what a high vs moderately intense statin therapy means.
High-daily dose lowers LDL cholesterol by at least 50%
Moderate-daily dose lowers LDL cholesterol by 30-50%
What’s the primary determinant between prescribing a high vs moderate intensity statin?
If 10 year risk calculation of athrerosclerotic CVD is < or > than 7.5%
A 50 y/o african american man is evaluated during a routine wellness exam. He is a non smoker and does not have diabetes. His blood pressure is 144/84mmHg. Total cholesterol is 150mg/dL, TAG 220 mg/sL, HDL 37mg/dL, LDL 100mg/dL. His calculated 10 year risk of atherosclerotic CVD is 9% what should you do?
A) no meds needed B) start fibrates C) Start high intensity statin therapy D) Start low intensity statin therapy E) Start therapeutic lifestyle changes
C is correct. Assume that lifestyle modification has already been advised. This is based on is 10 risk calculation. He has no diabetes, and a LDL below 190mg/dL but his other risk factors make him a candidate for high dose statin therapy.
How much can lifestyle modification improve your HDL levels?
increase by 1-4 mg/dL