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6 Cards in this Set
- Front
- Back
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NCEP ATP III
CHD risk-equivalents |
1. Clinical CHD - see next card
2. other forms of atherosclerotic dz * Carotid artery disease - Hx of TIA and/or stroke - Carotid stenosis > 50% * Peripheral artery disease - claudication - ABI >0.9 (ankle:brachial index) * Abdominal aortic aneurysm 3. Diabetes 4. multiple major RFs w/10y-risk < 20% that when combined (via Fram score) lead to a 10y - risk for CHD > 20% |
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NCEP ATP III
Clinical CHD |
Myocardial Ischemia (angina)
MI Coronary angioplasty &/or stent placed Coronary bypass graft (CABG) Prior Unstable Angina |
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NCEP ATP III
Selection of LDL-lowering TX Risk determinants |
1. LDL
2. presence or absence of CHD 3. other clinical forms of atherosclerosis 4. major risk factors other than LDL |
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NCEP ATP III
Major RFs w/10y-risk < 20% other than LDL (that are used to modify LDL goals) |
Cigarette smoking
HTN - BP≥140/90 or on antiHTN drug Low HDL (<40) Family hx premature CHD - First-degree relative - Male <55yrs old or female <65yrs Age - males ≥45yo; females ≥55yo |
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NCEP ATP III
Categories of Risk that modify LDL goals |
CHD and CHD risk equivalents
- goal is < 100 Multiple (2+) major RFs w/10y-risk<20% - Need to calculate Framingham score * goal is < 130 when 10y-risk < 20% * goal is < 100 when 10y-risk > 20% (becomes a CHD - equivalent) 0-1 RFs w/10y-risk < 20% * goal is < 160 |
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Risk factors used in Framingham scoring
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age
total cholesterol HDL BP Cigarette smoking |
