SCPA Posted January 26, 2015 Share Posted January 26, 2015 New FP PA here curious how others are using the "average risk" comparison in managing lipids. My lab breaks down the XOL/HDL ratio to: 1/2 the average risk, average risk, 2x average, and 3x average. For example, take this diabetic pt with a Total XOL of 263 and HDL of 90. He is well under 1/2 the average risk with a ratio of 2.9.However, he is still a diabetic and LDL is 170 on a low dose statin... Link to comment Share on other sites More sharing options...
Maverick87 Posted January 26, 2015 Share Posted January 26, 2015 I usually just google "Cardiac risk calculator" and interpret the risk that way. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 26, 2015 Moderator Share Posted January 26, 2015 I usually just google "Cardiac risk calculator" and interpret the risk that way. yup: http://cvdrisk.nhlbi.nih.gov/calculator.asp Link to comment Share on other sites More sharing options...
cbrsmurf Posted January 26, 2015 Share Posted January 26, 2015 I go by the Framingham calc and new ACA/AHA calc (the latter being better for diabetics). In above normal risk patients (whether it be low HDL's, high LDL's, etc), my philosophy is to be fairly liberal with statins. They are safe, cheap, and effective with few adverse effects. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted January 26, 2015 Administrator Share Posted January 26, 2015 [...] my philosophy is to be fairly liberal with statins. They are safe, cheap, and effective with few adverse effects. And Atorvastatin (Lipitor) is generic now, and Rosuvastatin (Crestor) runs out next year, so expect to just continue to see more and better options, cheaper. Link to comment Share on other sites More sharing options...
cinntsp Posted January 26, 2015 Share Posted January 26, 2015 Download the app called ascvd risk calculator. Sent from my Nexus 5 using Tapatalk Link to comment Share on other sites More sharing options...
Guest Paula Posted January 26, 2015 Share Posted January 26, 2015 I use the app ASCVD risk calculator. It's based on age tho and after a certain age is not a valid risk. (unless I am misunderstanding it?) Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 27, 2015 Moderator Share Posted January 27, 2015 lipid panel like that in a diabetic - unless they are 100 years old, and have amazing BS control (with an A1C of <7) I would treat with a statin. I still think as DM as "close to" a risk equivalent to prior CAD - Yup I know I am out of step with the current guidelines, but this is my interpretation of what is best for the patient..... before you flame me.... remember Vioxx and HRT for hot flashes.... for years we thought that was good.... I believe that hyperglycemia with long term DMII with a less then stellar cholesterol panel should be treated with a statin Link to comment Share on other sites More sharing options...
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