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TC is LDL(bad) + HDL (good) + Triglycerides

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​Lipids


Primary prevention (25 to 84 incl htn and type 2 dm)
Random bloods FASTING NOT NEEDED

so lipids, hba1c, lfts, ues
Remember TFTS

Rpt blood in 2-3 mths


if qrisk 3 (cvd) more than 10%
Lifestyle advise
Then atorvastatin 20mg
If not tolerated ezetimibe 10mg

Aim for >40% drop in non hdl

Secondary prevention (cvd)
Usually on atorvastatin 80mg od
+- ezetimibe, bempoeic acid
Or refer to lipid clinic (for inclisiran)

Rpt blood in 2-3 mths
Aim for ldl under 2 ​

Assessment

If > 180/120 same day review

Rest abp/hmbp

Then if > 150/95 treat

Then if under 135/85 is normal

Rest so 135-149/85 -94 treat if qrisk3 above 10%

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Treatment

if type 2 dm – acei/arb

if AF – CCB

if under 55 ACEI / if > 55 CCB

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