Question

A 42-year-old Aboriginal man attends your rural clinic. He smokes, has a BMI of 31 kg/m², long-standing hypertension and a sibling who had a myocardial infarction at age 48. He has no known CVD. According to the Aus CVD Risk Calculator, his 5-year absolute risk is 9%. What is the most appropriate strategy regarding CVD risk assessment and management?

Accepted Answer

Recognise him as at least intermediate risk and intensify lifestyle and risk factor management now, with consideration of pharmacotherapy after shared decision-making

Answer

Repeat risk assessment at age 50, as he is below the usual threshold for screening

Answer

Advise lifestyle change only and repeat risk assessment in 5 years

Answer

Use the calculator from age 55 because Aboriginal status does not change thresholds

Answer

Start aspirin for primary prevention given his family history

Practice question