Cardiovascular disease Flashcards
Non modifiable risk factors
older age
family history
male
Modifiable risk factors
smoking alcohol poor diet obesity stress low exercise
medical co-morbidities that increase the risk of atherosclerosis
diabetes hypertension CKD inflammatory eg rheumatoid atypical antipsychotics
End results of atherosclerosis
angina MI TIA Strokes PVD chronic mesenteric ischaemia
optimising modifiable risk factors
stop smoking
stop drinking alcohol
advise on diet, weight loss and exercise
treat conditions eg diabetes
What is a QRISK3 score?
percentage risk that a patient will have a stroke or MI in next 10 years
QRISK3 - when should you start a stain? Which statin and dose
when % chance in next 10 years is above 10%
atorvastatin 20mg night
Follow-up after commencing a statin
check lipids 3 months - increase dose?
check LFTs - 3 months and 12 months
statins and LFTs
can cause transient increase in ALT and AST
4 A’s of secondary preventation
Aspirin and clopidogrel for 12 months
Atorvastatin 80mg
atenolol (bisoprolol)
ACEI
side effects of statins
myopathy - check creatine kinase
type 2 DM
haemorhagic strokes
