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Flashcards in Hyperlipidemia Deck (11)
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1
Q

primary prevention; LDL more than 190 at any age

A

start high density statin right away

2
Q

primary prevention; LDL less than 190, age 40-75 with diabetes

A

moderate to high-intensity statin depending on ASCVD risk score

3
Q

primary prevention; LDL less than 190, age 40-75 with no diabetes

A

calculate the ASCVD risk score
7.5-20% — moderate intensity statin
more than 20 % —- high-intensity statin

4
Q

for secondary prevention ( patient with known vascular occlusive disease); age less than 75

A

high-intensity statin

5
Q

for secondary prevention, age more than 75

A

moderate to high intensity statin

6
Q

per USPSTF – for primary prevention with 1 ASCVD risk factor

A

threshold for starting statin is 10%

7
Q

For LIPID screening; AHA /ACC

A

age 21-75 every 4-6 years. earlier if strong family history

8
Q

For lipid screening; USPSTF

A

age 40-75 every 5 years

9
Q

secondary causes of hyperlipidemia

A

hypothyroidism, uncontrolled diabetes, excessive alcohol use, smoking, obstructive liver disease, nephrotic syndrome, chronic kidney disease, and certain medications (e.g., thiazides, beta-blockers, glucocorticoids).

10
Q

what to check if patient develops myalgias on statin

A

check for hypothyroidism, vitamin-D deficiency. check CK and BMP.

11
Q

if statins fail?

A

Consider ezetimibe and/or a PCSK9 inhibitor if strong indication