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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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