Workshop 1.2 Clinical Diagnosis Of CVD Flashcards
1
Q
What should you offer to >85 years for primary prevention of CVD? And why
A
Atorvastatin 20mg as statins may be of benefit in reducing the risk of non fatal myocardial infarction
2
Q
What should you offer to adults with type 1 diabetes?
A
Atorvastatin 20mg
3
Q
What should you offer to patients with type 2 diabetes?
A
Atorvastatin 20mg
4
Q
What are the problems with taking statins?
A
- Rarely any problems
- Some people have developed abnormal muscle breakdown, which can lead to kidney problems
5
Q
What are the CVD risk enhancers in diabetic patients?
A
- Long duration of diabetes ( > 10 years for type 2, > 20 years for type 1)
- Albuminuria ( >30 mcg albumin/ mg creatinine)
- Estimated GFR < 60mL/min/1.73m
- Retinopathy
- Neuropathy
- Ankle brachial index < 0.9
6
Q
Which patient groups should be given statins as first like therapy?
A
- Patients with elevated low density lipoprotein cholesterol levels
- Patients with diabetes who are 40-75 years of age
