CVD Risk Assessment Flashcards

1
Q

Traditional RFs

A

Smoking
HTN
Diabetes
Chol

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2
Q

Metabolic Syndrome

A

Visceral obesity
Insulin resistance
Emerging markers

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3
Q

Australian CVD Risk Assessment Guidelines

A

Framingham Risk Equation to predict the risk of a CVS event in the next 5 years: all adults over 45-74

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4
Q

You are automatically high risk as per Australian guidelines if

A

Have existing CVD
>60 with diabetes
Diabetes and microalbuminuria
Familial Hypercholesterolaemia
Moderate to severe CKD
High BP (180/11)
Total serum cholesterol >7.5

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5
Q

What Mx do high risk people need

A

Lifestyle modifications
Lipid lowering
BP control

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6
Q

What tests can we do for atherosclerotic burden? (when looking for subclinical atherosclerotic CVD)

A

Coronary artery CT calcium and angiography

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7
Q

How do you treat coronary artery calcification

A

Aspirin + high efficacy statin

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8
Q

At risk waist circumference

A

> 102 for M
88 for F

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9
Q

What is cardio metabolic syndrome

A

3/5:

  1. Waist circumference increased
  2. TG >1.7
  3. HDL <1 (M) or 1.3 (F)
  4. Systolic BP >130
  5. FPG: >5.5
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10
Q

Where are ectopic fat deposits

A

Intra-muscular fat
Fatty liver
Visceral adipose tissue

Perivascular fat
Pericardial fat
Myocardial steatosis

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11
Q

What is the overall management for obesity

A

Nutritional and lifestyle interventions
Increased physical activity
Behavioural therapy
Pharmacotherapy
Bariatric surgery

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