January 23rd, 2014
Prevention Guidelines in Practice: Vignette 2
This vignette is the second in our series “Making Sense of the New Prevention Guidelines — The View from Clinical Practice”
A 45-year-old man sees you for cardiac risk assessment. His father died at age 42 from a myocardial infarction. He exercises regularly and feels he eats well. He does not smoke. His blood pressure is 135/83 mm Hg. BMI is 26 kg/m². Fasting lipid panel shows an LDL of 150 mg/dL.
- Should other markers of risk be obtained? CRP, Lp(a), CIMT, CAC score?
- Do you recommend any specific treatment – should he take a statin?
- Have the new ACC/AHA guidelines (risk assessment, blood cholesterol) influenced your approach to this patient?