CVD Risk Assessment

Question 1

Traditional RFs

Answer 1

Smoking
HTN
Diabetes
Chol

Question 2

Metabolic Syndrome

Answer 2

Visceral obesity
Insulin resistance
Emerging markers

Question 3

Australian CVD Risk Assessment Guidelines

Answer 3

Framingham Risk Equation to predict the risk of a CVS event in the next 5 years: all adults over 45-74

Question 4

You are automatically high risk as per Australian guidelines if

Answer 4

Have existing CVD
>60 with diabetes
Diabetes and microalbuminuria
Familial Hypercholesterolaemia
Moderate to severe CKD
High BP (180/11)
Total serum cholesterol >7.5

Question 5

What Mx do high risk people need

Answer 5

Lifestyle modifications
Lipid lowering
BP control

Question 6

What tests can we do for atherosclerotic burden? (when looking for subclinical atherosclerotic CVD)

Answer 6

Coronary artery CT calcium and angiography

Question 7

How do you treat coronary artery calcification

Answer 7

Aspirin + high efficacy statin

Question 8

At risk waist circumference

Answer 8

> 102 for M
88 for F

Question 9

What is cardio metabolic syndrome

Answer 9

3/5:

1. Waist circumference increased
2. TG >1.7
3. HDL <1 (M) or 1.3 (F)
4. Systolic BP >130
5. FPG: >5.5

Question 10

Where are ectopic fat deposits

Answer 10

Intra-muscular fat
Fatty liver
Visceral adipose tissue

Perivascular fat
Pericardial fat
Myocardial steatosis

Question 11

What is the overall management for obesity

Answer 11

Nutritional and lifestyle interventions
Increased physical activity
Behavioural therapy
Pharmacotherapy
Bariatric surgery