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 aspirin recommended as primary prevention of CVD

Answer 10

no

Question 11

primary prevention of CVD

Answer 11

antihypertensives if indicated
lipid lowering therapy (statin)

Question 12

secondary prevention

Answer 12

antiplatelet (aspirin, alt clopidogrel)
antihypertensives if indicated
statin as lipid lowering therapy