A 64-year-old woman asks about cardiovascular prevention. Her blood pressure is 146/88 mmHg, total cholesterol is 6.1 mmol/L, HDL is 1.0 mmol/L, she

Question

A 64-year-old woman asks about cardiovascular prevention. Her blood pressure is 146/88 mmHg, total cholesterol is 6.1 mmol/L, HDL is 1.0 mmol/L, she smokes and has no known cardiovascular disease. eGFR is 72 mL/min/1.73 m². What is the most appropriate management?

Accepted Answer

Calculate absolute cardiovascular disease risk and manage lipids, blood pressure and smoking according to risk

Answer

Use aspirin for all primary prevention patients

Answer

Ignore smoking if blood pressure is treated

Answer

Treat cholesterol only if total cholesterol exceeds 7.5 mmol/L

Answer

Order coronary angiography as first-line risk assessment

Cardiovascular risk assessment — RACGP Fellowship MCQ

A 64-year-old woman asks about cardiovascular prevention. Her blood pressure is 146/88 mmHg, total cholesterol is 6.1 mmol/L, HDL is 1.0 mmol/L, she smokes and has no known cardiovascular disease. eGFR is 72 mL/min/1.73 m². What is the most appropriate management?

A 64-year-old woman asks about cardiovascular prevention. Her blood pressure is 146/88 mmHg, total cholesterol is 6.1 mmol/L, HDL is 1.0 mmol/L, she smokes and has no known cardiovascular disease. eGFR is 72 mL/min/1.73 m². What is the most appropriate management?