Thursday, March 17, 2016

Guidelines for the use of a statin in hypertension; DrSudeepKC


Guidelines for the use of a statin in hypertension include the following, except:



A. Following a stroke
B. Type 2 diabetic diagnosed 11 years previously
C. Primary prevention with a CVD risk of 25%
D. Target levels of LDL <2 mmol/L and total cholesterol <4 mmol/L
E. Primary prevention in an 80-year-old


STATIN GUIDELINES
ANSWER : E. Statins should be used in all cases of secondary prevention in patients with hypertension, with target levels of LDL <2 mmol/L and total cholesterol <4 mmol/L or a 30% reduction. The primary prevention benefit of statins has been shown in trials of hypertensive patients down to a CVD risk level of 6%.

This is not financially feasible; therefore the recommendation is for statin use if the CVD risk is ≥20% or established type 2 diabetes for more than 10 years. There is little evidence for the treatment of patients over 80 years old with statins.

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