Dyslipidemia- Risk assessment Flashcards
What is the next step after getting BW results back?
calculate FRS
When do you not have to calculate a FRS?
When pt has statin indicated condition
b/c FRS is to tell us who needs statin
What are the 5 statin indicated conditions?
- all ASCVD conditions
- DM
- CKD over 50 y/o
- LDL 5+
- familial hypercholesterolemia
What is the other model that can be used to do risk assessment
Cardiovascular Life Expectancy Model (CLEM)
What does the FRS tell us in terms of management
Who needs a statin
thats why ppl with statin indicated condition dont need score
How often should a CV risk assessment be done?
3
- q 5 years for ages 40-75 if FRS<5
- q 1 year for ages 40-75 if FRS 5+
- whenever pts expected risk status changes
What FRS is low, intermediate, and high risk?
Low <10%
Intermediate 10-19.9%
High 20+
recall do not need FRS if statin indicated condition is present
Which statin conditions are considered low, intermediate, and high risk
Reminder of statin conditions:
* all ASCVD conditions
* DM
* CKD >50yo
* LDL 5+
* familial hypercholesterolemia
recall all conditions get statins anyways
Low:
* familial hypercholesterolemia
* LDL 5+
Intermediate:
* CKD <50yo
* DM
High
* all ASCVD conditions
reminder all statin conditions get statins regardless of risk level
Which FRS in general are statins indicated for?
intermediate and high
