Tag Archives: outpatient

Hypertension

JNC8 Guidelines

Advertisements

Cervical Cancer Screening Guidelines

From NEJM

HPV testing and PAP smear guidelines

Cholesterol 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:


Cholesterol LDL Levels

Table refines the Friedewald equation.  

Cholesterol Content of Food

Schedule for Screening Colonoscopy

Algorithm for Evaluation of Abnormal LFTs