CV disease

Question 1

What is atheroschlerosis?

Answer 1

Fatty atheromatous deposits (Stenosis) (atheroma) and schlerosis (stiffening of vessels- HTN)

Question 2

What size vessels affected by atheroschlerosis?

Answer 2

med and large

Question 3

What are non modifiable risk factors for atheroschlerosis?

Answer 3

Male
FH
Old age

Question 4

What are modifiable atheroschlerosis risks?

Answer 4

Smoking
Alchohol
Poor diet
Excercise
Sleep
Stress

Question 5

What co morbidities worsen Atheroschlerosis

Answer 5

DM
HTN
CKD
RA

Question 6

Which score is used to assess 10 year risk of MI or stroke

Answer 6

Qrisk3

Question 7

What is !risk3 used to indicate

Answer 7

If >10% in 10 years start a statin

Question 8

What other patient groups should be offered statins?

Answer 8

CKS

T1DM

Question 9

What should you check when starting statins

Answer 9

LFTs

Question 10

When should you check LFTs in statins?

Answer 10

within 3 months of starting and again at 12 months

Question 11

What do statins do?

Answer 11

Reduce non HDL lipids

Check for reduction at 3 months

Question 12

What is used for medical secondary prevention of CV diease (after an event)?

Answer 12

Aspirin (plus second antiplatelet)
Atorvastatin
Atenolol or other BB
ACEi

Question 13

What are side effects of statins?

Answer 13

Myopathy (CK if muscle pain)
T2DM
Haemorrhagic strokes (rare)