JNC8 Guidelines
Tag: outpatient
From NEJM
HPV testing and PAP smear guidelines
ACC AHA Task Force on Practice Guidelines
Treatment of High Blood Cholesterol
4 subgroups where benefit clearly outweighs risk of statin therapy:
1. (+) atherosclerotic cardiovascular disease
2. LDL >/=190mg/dL
3. LDL >/=70mg/dL + DM
4. LDL >/=70mg/dL + >/=7.5% 10-year risk of atherosclerotic cardiovascular disease
**Lower LDL by >/=50%, use high-intensity statin therapy
Groups for which no evidence or statin not recommended:
1. >/=75y/o unless with clinical cardiovascular disease
2. on HD
3. NYHA 2-4
Other Notes:
1. target levels no longer emphsized; do not measure LDL routinely
2. avoid non-statin agents
3. do not use surrogate markers (CRP, calcium scores)
4. use risk-calculator
http://static.heart.org/ahamah/risk/Omnibus_Risk_Estimator.xls
Notes from the actual 85-page guidelines:
Table refines the Friedewald equation.
