DLD Flashcards
What diseases may cause secondary DLD
hypothyroidism
nephrotic syndrome
DM
certain medications
Should DLD caused by hypothyroidism be treated
not unless triglycerides are high enough to cause pancreatitis
after what age should individuals be screened with a lipoprotein
40
how often should a FRS be done
every 5 years aged 40-75
how do you screen for DLD
lipid profile
A1C
eGFR
lipoprotiein
Optional: ApoB and Urine ACR
Should be patients be fasted or non fasted for lipid screening
non fasted unless known triglycerides >4.5
what patients should always be started on statins
clinical atherosclerosis
AAA
DM or CKD
LDL >5
what ethnicities are at greatest increased risk of DLD
south asian
indigenous
true or false: lifestyle changes can lower your lipoprotein A
false, it is genetic but does increase risk of atherosclerosis
coronary artery calcium score over what indicates starting statin
400
should everyone have a coronary artery calcium scoring?
no, only to help decide on starting lipid therapy if it is unclear if it should be started or not
after initiation of statin therapy, when do you recheck lipids?
after 3-6 months
when would you add on ezetimibe
with a moderate elevation in lipids despite max tolerated statin
when would you add on a PCSK9 inhibitor instead of ezitimibe
with a large elevation in lipids despite max tolerated statin therapy
when is icosapent ethyl used
with TG >1.5 despite max tolerated statin therapy
