Learning Objectives
To update you on:
- The treatment of hyperlipidaemia for primary and secondary prevention of cardiovascular disease
- When to suspect familial hyperlipidaemia and which patients should be referred
- Management of abnormal liver function in patients taking statins
- Investigation and management of muscle aches in patients taking statins
- Issues to consider if prescribing a statin for a woman of child-bearing age
- Management of high cholesterol in elderly patients
Author
Dr Toni Hazell is a GP in North London
Case Study 1 – Mr M
Mr M is a 45 year old man who has attended for an NHS health check and has been directed to see you with the results, which are listed below. He does not have any medical conditions and currently takes no medications. He smokes 15 cigarettes a day, drinks 28 units of alcohol a week and has no family history of CVD.
- Blood pressure: 156/84mmHg
- Total cholesterol: 6.8mmol/L
- LDL cholesterol: 4.8mmol/L
- HDL cholesterol: 1.0mmol/L
- Total:HDL cholesterol ratio: 6.8
- Height: 170cm
- Weight: 85kg
- BMI: 29.4
- HbA1c: 39mmol/mol
- Renal and liver function: normal
What do you do next?
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