Dyslipidemia - the basics - note no values on exam Flashcards
Dyslipidemia is a significant risk factor for the development of _
atherosclerotic disease
stroke, MI, arterial insufficiency
What does the formation of plaque involve?
4
inflam cells
serum lipids
arterial endothelial dysfunction
the coagulation system
What 2 parts of dyslipidemia appear on most CV risk calculation tools?
cholesterol
HDL
What comorbidities increase the risk of dyslipidemia?
4
smoking
obesity
DM
HTN
Dyslipidemia is apart of what syndrome?
metabolic syndrome
Treating dyslipidemia greatly reduces the risk of _ events
CV events
Hyperlipidemia can be a _ condition meaning _
genetic condition meaning despite healthy lifestyle can still have elevated lipids
Hyperlipidemia can lead to _ and _
coronary events and pancreatitis
What history raises suspicion of hyperlipidemia being genetic?
family hx of early cardiac death
lipids can be evelated as early as childhood
What are 4 secondary causes of high cholesterol (resulting in dyslipidemia)
hypothyroidism
nephrotic syndrome
DM
medication induced
What is the first step in treating a patient with hypothyroid induced dyslipidemia
treat the hypothyroid first then reassess
How do you screen for nephrotic syndrome
urine dup for protein
hyperlipidemia is characteristic of nephrotic syndrome- so is protein in urine
What drugs can cause high cholesterol leading to dyslipidemia
4
thiazides
BB
acutane
protease inhibitors for AIDS
What is the tertiary prevention for dyslipidemia once it is identified
2
lifestyle and med to reach lipid targets
FYI atherosclerotic CV disease encompassses
- ACS
- MI
- angina
- CAD
- stroke
- TIA
- PAD
- AAA
- carotid disease
- coronary or other arterial revascularization
