Lecture :Practical Cardiovascular disease

Question 1

Why talk about CVD risk

Answer 1

In 2018 new guidlines were released for the assessment of cardiovascular disease risk assessment and management in primary care

Question 2

what do these new guidlines reinforce

Answer 2

The shift away from managing single risk factors (e.g blood pressure) and rather focus on treating an individual according to their estimated 5 year CVD risk derived from multivariable CVD risk predictions equations

Question 3

who should be assessed?

Answer 3

Men 45Y and older
Women 55Y and older

Question 4

In Maori, Pacific or south asian populations assessment should begin

Answer 4

15 years earlier

Question 5

If there is a first degree relative with: diabetes, Heart attack prior to 50 y, Familial hypercholesterolemia

Answer 5

Then CVD risk assessment should be initiated 10 years earlier

Question 6

What are certain individuals that should also be assessed for CVD 10 years earlier

Answer 6

Inidividuals that
-Smoke
-Have a history of gestational diabetes
-Have pre diabetes
-Have a BMI>30
-Have atrial fibrillation

Question 7

The equations have not been developed to calculate risk in people who:

Answer 7

-Have pre-existing CVD
-Have chronic heart failure, familial hypercholesterolemia, chronic kidney disease or diabetes with overt renal disease
-People over 75 years of age

Question 8

CVD risk assessment in people with severe mental illness should be initiated at

Answer 8

25 y of age

Question 9

Is the equations for male and female the same

Answer 9

There are seperate equations for men and women and people with and without diabetes