Guidelines

Question 1

When you reduce your LDL-C by 1%, how much do you reduce your CVD risk?

Answer 1

1%

Question 2

What are the 4 groups of patients for statin therapy?

Answer 2

1. Adults with clinical ASCVD w/o class II-IV HF or receiving hemodailysis. 2. Adults with LDL-C > 190 mg/dl
2. Adults 40-75 y/o with diabetes 4. Adults with > 7.5% estimated 10-year risk of ASCVD

Question 3

What is the 2013 LDL-C treatment goal for a 50 y/o white nonsmoker with 1 previous of MI?

Answer 3

THERE IS NONE I FOOLED YOU!

Question 4

What optional additional risk measurement tools can help to refine predicted risk in pts with “intermediate risk”?

Answer 4

1. Family history of premature ASCVD 2. hsCRP 3. Coronary artery calcium 4. Ankle brachial indices.

Question 5

What are the ABCDE treatment recommendations?

Answer 5

A. Aspirin/Antiplatelet therapy B. BP control C. Cholesterol control/cigarette smoking cessation D. Diet and weight management/ diabetes control E. Exercise

Question 6

Define premature heart disease.

Answer 6

< age 55 for men and <65 for women

Question 7

Lifestyle recommendations for ALL patients regardless of risk

Answer 7

DASH - like diet, Physical activity, weight management, smoking cessation

Question 8

Total Cholesterol goals

Answer 8

Optimal - 240

Question 9

Tryglycerides goal

Answer 9

< 150 mg/dL

Question 10

What is the treatmnet for high total cholesterol?

Answer 10

Total cholesterol is not a target for therapy.

Question 11

What is the treatment for high triglycerides?

Answer 11

diet, exercise, weight loss, Fibrates, Niacin, Fish Oil.

Question 12

HDL Goals

Answer 12

Low - 60

Question 13

Treatment for low HDL

Answer 13

Exercise, Niacin, Fibrates

Question 14

Pharmacotherapy for high LDL

Answer 14

Statins, niacin, ezetimibe, bile acid sequestrants

Question 15

How often should a healthy adult get a fasting lipoprotein profile?

Answer 15

Every 5 years

Question 16

Which statins should be used for primary prevention?

Answer 16

Pravastatin, lovastatin, atorvastatin, rosuvastatin

Question 17

Which statins should be used for secondary prevention?

Answer 17

Simvastatin, Pravastatin, Atorvastatin

Question 18

High intensity statin therapy

Answer 18

Atorvastatin 40-80mg; Rosuvastatin 20-40 mg

Question 19

Moderate -Intensity statin therapy

Answer 19

Atorvastatin 10-20, Rosuvastatin 5-10, Simvastatin 20-40, Pravastatin 40-80, Lovastatin 40, Fluvastatin XL 80, Fluvastatin 40 mg BID, Pitavastatin 2-4mg

Question 20

Low- intensity statin

Answer 20

Simvastatin 10, Pravastatin 10-20, Lovastatin 20, Fluvastatin 20-40, Pitavastatin 1 mg

Question 21

What is the primary goal of managing very high TG concentrations?

Answer 21

Prevent pancreatitis

Question 22

% statins lower TG

Answer 22

10-30

Question 23

% Fibrates lower TG

Answer 23

30-50

Question 24

% IR Niacin lowers TG

Answer 24

20-50

Question 25

% ER Niacin lowers TG

Answer 25

10-30

Question 26

% Ezetimibe lowers TG

Answer 26

5-10%

Question 27

% Omega-3 fatty acids lower TG

Answer 27

20-50