60-year-old man with hypertension for 5 years came for regular health check and necessary recommendations, He is on ACBI and thiazide diuretics, Examination revealed: blood pressure 140/85 mmhg and a body mass index is 30 his Father died at age 52 with cardiac arrest. He is arent smoker of 20 cigarettes/day. His lipid profile revealed total cholesterol 230 mg/dl, low density protein (LDL) 135 mg/di, high density lipoprotein (HIDL) 35 mg/dl, and triglycerides 180 .mg/dI, patient Is concerned of using statin for heart protection What is the best next step for the management of this patient's condition?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Cardiac risk by cardiac risk calculator
He is 60, non-diabetic, with no known ASCVD and LDL 135 (in the 70–189 range). In that group, whether to start a statin depends on the estimated 10-year ASCVD risk (≥7.5%). Calculating it with a cardiac risk calculator is the next step and gives a concrete number to discuss with a patient who is unsure about statins. His smoking, low HDL, HTN and family history will likely put him well above the threshold.
- Reviewing/reinforcing lifestyle (A, B) is always part of care but doesn't answer the statin question.
- A third antihypertensive (C) is not the issue being asked.
ليش كل خيار صح أو غلط
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D
ليش صح
He is non-diabetic with LDL 135 (70-189); statin initiation in this group depends on the estimated 10-year ASCVD risk of at least 7.5%, so the risk is calculated first.
✓ Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
- المصدر
- Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
view-material.pdf · p. 15 - المحاضرة
- Obesity & Lipids · Endocrinology · Module B
- ظهر في
- Endo bank