To screen or not to screen
This age is when we begin screening for high cholesterol in adults
What is age 21?
Patients with diabetes mellitus should be on this regardless of their LDL
What is a moderate intensity statin?
These diets have been associated with lower all-cause mortality than standard/control diets.
What is plant-based and mediterranean diet?
For patients with established ASCVD, this is the goal LDL level
What is < 70 mg/dl?
The addition of non-statin therapies for patients with known ASCVD should be considered at this LDL threshold.
What is > 70 mg/dl?
What is q5 years?
Atorvastatin 40mg and rosuvastatin 20 mg are both this class of medication
Adults should engage in this amount of exercise per week to reduce their ASCVD risk.
What is at least 150 minutes of accumulated moderate intensity or 75 minutes of vigorous intensity exercise?
Consider checking lipid panel at this interval after starting a statin in order to titrate the dose.
What is 4 to 12 weeks after initiation?
For patients with persistent fasting hypertriglyeceridiema > 500, consider adding these medications to their statin therapy.
What is fenofibrate or icosapent ethyl?
This calculator helps clinicians decide if a patient would benefit from statin therapy
What is the ASCVD risk calculator?
Recommendation for high intensity statin should be made with this LDL
What is greater than or equal to 190 mg/dl?
An LDL goal of less than this is considered ideal for patients without known ASCVD.
What is < 100 mg/dl?
For patients with statin associated side effects, consider these two different treatment options.
What is lower statin dose or change statin?
This medication is recommended as the initial nonstatin therapy in patients with clinical ASCVD who are receiving maximally tolerated statin therapy and have an LDL-C level > 70 mg/dL
What is ezetimibe?
A coronary artery calcium score should NOT be used for screening purposes in these groups of people.
What are LOW risk and HIGH risk individuals based on ASCVD calculator?
A high-intensity statin lowers LDL by this much on average
What is > 50 %?
Generally, we might consider starting statins at this age for primary prevention of ASCVD
What is age > 40?
This medication that reduces triglycerides should be avoided with statins due to increased risk of statin associated muscle side effects.
What is gemfibrozil?
For very-high risk patients with clinical ASCVD, this is the next medication to be considered after max dose statin + ezetimibe.
What is a PCSK9 mAB?
For our pediatric patients, we might consider screening at this age
What is between 9-11, and again between 17-21?
What is a coronary artery calcium score?
Under the age of 40, we might consider a statin for this hereditary diagnosis
What is familial hypercholesterolemia?
This is a very rare condition that would prompt discontinuation of statin
What is statin induced rhabdomyolysis?
This medication is the newest kid on the block and can be considered if additional LDL lowering is needed after statin + ezetimibe + PCSK9 mAB.
What is bempedoic acid?