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GEM - cardiovascular risk educational module part one

 
   

Cardiovascular Risk Module - Part One

Points to consider when calculating cardiovascular risk:

1) what is the relationship between cardiovascular risk and coronary heart disease risk

2) Cardiovascular Risk tables are used in the primary prevention of cardiovascular disease. The latest version of the Joint British Guidelines (JBS2) have outlined situations when they consider cardiovascular risk not appropriate because the inviduals are already of High Risk (cardiovascular risk > 20% over the next 10 years). Can you identify (or suggest) the groups chosen?

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3) What are the suggested targets for lipid lowering in patients of high cardiovascular risk?

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4) The JBS2 guidelines have identified patients with diabetes with regards to high cardiovascular risk. Statin treatment has been suggested for this population.

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The principle evidence relating to use of statin treatment in patients with diabetes is based on two trials (click here for more information CARDS and HPS). How does this trial based data compare to the suggested treatment groups in JBS2?

5) microalbuminuria is a risk factor for cardiovascular disease. How does microalbuminuria affect cardiovascular risk

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6) metabolic syndrome also increases the risk of cardiovascular disease. What is metabolic syndrome?

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7) A blood pressure of less than 140/85 mmom is suggested as optimal in reducing cardiovascular risk. How is this JBS2 target changed in the context of diabetes and how do the targets compare to the current NICE guidelines?

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