CVD Risk Assessment Flashcards
Traditional RFs
Smoking
HTN
Diabetes
Chol
Metabolic Syndrome
Visceral obesity
Insulin resistance
Emerging markers
Australian CVD Risk Assessment Guidelines
Framingham Risk Equation to predict the risk of a CVS event in the next 5 years: all adults over 45-74
You are automatically high risk as per Australian guidelines if
Have existing CVD
>60 with diabetes
Diabetes and microalbuminuria
Familial Hypercholesterolaemia
Moderate to severe CKD
High BP (180/11)
Total serum cholesterol >7.5
What Mx do high risk people need
Lifestyle modifications
Lipid lowering
BP control
What tests can we do for atherosclerotic burden? (when looking for subclinical atherosclerotic CVD)
Coronary artery CT calcium and angiography
How do you treat coronary artery calcification
Aspirin + high efficacy statin
At risk waist circumference
> 102 for M
88 for F
What is cardio metabolic syndrome
3/5:
- Waist circumference increased
- TG >1.7
- HDL <1 (M) or 1.3 (F)
- Systolic BP >130
- FPG: >5.5
Where are ectopic fat deposits
Intra-muscular fat
Fatty liver
Visceral adipose tissue
Perivascular fat
Pericardial fat
Myocardial steatosis
What is the overall management for obesity
Nutritional and lifestyle interventions
Increased physical activity
Behavioural therapy
Pharmacotherapy
Bariatric surgery