CVD risk assessment and prevention

Question 1

what is CVD

Answer 1

group of disorders of the heart and blood vessels caused by atherosclerosis and thrombosis

includes CHD, stroke, PAD, aortic disease

Question 2

risk of CVD is greater in men or women

Answer 2

men

Question 3

which ethnic background is CVD risk greater in

Answer 3

south asians

Question 4

what age is CVD risk greater in

Answer 4

patients aged over 50 years and increases with age; patients aged 85 years and over are at particularly high risk

Question 5

risk assessment with a calculator is not required in pt who are at increased or high risk of CVD. this includes the following (5)

Answer 5

established CVD
CKD stage 3 or higher (<60)
albuminuria
familial hyperchoelsterolaemia
T1D

Question 6

CVD risk may be underestimated in (3)

Answer 6

patients who are already taking antihypertensives or lipid-regulating drugs, or who have recently stopped smoking

Question 7

Standard risk scores may be underestimated in patients with additional risk due to existing conditions or medications that can cause dyslipidaemia (3)

Answer 7

antipsychotics
CCs
immunosuppressants

Question 8

patient has 10% or greater 10 year risk of developing CVD or they have CKD. what do you recommend.

Answer 8

atorv 20mg primary prevention

Question 9

anti platelet therapy with 75mg aspirin daily should be offered to which pt

Answer 9

established atherosclerotic disease.

Alternatively, clopidogrel can be considered in patients who are intolerant to aspirin or in whom it is contraindicated.

Question 10

…… is recommended in combination with a statin for patients with established CVD who have a raised fasting triglyceride concentration of 1.7 mmol/litre or above, and a LDL-cholesterol concentration above 1.04 mmol/litre and below or equal to 2.6 mmol/litre.

Answer 10

Icosapent ethyl