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17 Cards in this Set

  • Front
  • Back
Optimal Level of LDL
<100
Optimal level of Total Cholesterol
<200
HDL Level
<40 = Low
>60 = High
What are the five high risk factors for CHD (and CHD risk equilvalent)?
*Clinical CAD
*Symptomatic CAD
*PAD
*AAA
*DM
What are the five major risk factors (other than LDL)?
*Tobacco use
*HTN (B/P >=140/90 or antihypertensive med)
*Low HDL (<40)
*Family Hx of premature CHD (male <55; female <65)
*Age (male >=45; female >=55)
What are the LDL and non HDL goals for CHD or CHD Risk Equivalents?
LDL Goal: <100

nonHDL Goal: <130
When to start therapy with CHD or CHD Risk Equilvalents?
LDL >= 130
Which drug class is the best for lowering LDL?
Statins
Which drug class is good for lowering LDL but increases TG?
Bile Acid Sequestrants
Which drug class is good for raising HDL and lowering TG?
Nicotinic Acid
Which drug class is good for lowering TG?
Fibric Acids
Side Effects and CI of Statins
SE: Myopathy, Increased liver enzymes
Monitor LFTs

CI: Liver disease
Side Effects of Bile Acid Sequestrants
SE: GI upset
Side Effects and CI of Nicotinic Acid
SE: Flushing (use aspirin 30 minutes prior)

CI: Diabetes
Side Effects and CI of Fibric Acids
SE: Dyspepsia

CI: Renal Disease
What is the LDL/non-HDL/LDL level to start drug therapy for 2+ Risk Factors?
LDL Goal <130

nonHDL Goal < 160

Start meds: >130-160 depending on 10 year risk
What is the LDL/non-HDL/LDL level to start drug therapy for 0-1 Risk Factors?
LDL Goal <160

nonHDL Goal < 190

Start meds: >190