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LDL

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9 Posts

hero
Forum Guru

Topics: 38
Posts: 504

07/04/08 - 06:20 PM

A 52-yo F is evaluated for DM and CAD. Her BP 124/72 with diet alone. For her DM she uses metformin and glyburide. She is nonsmoker.

What is target value for her LDL?
<70
<100
<130

Edited by hero on 07/04/08 - 08:39 PM

will try my best
Forum Elite

Topics: 41
Posts: 286

07/04/08 - 07:52 PM

Depends, if she has had an acute coronary syndrome or diabetes with peripheral neuropathy she will straight away go in the <70 bracket.I did'nt get it from the qs whether she has known CAD.If she has CAD goal is <70.If she does not have CAD,then DM(if it is uncomplicated) will cause her to fall in the second group----> Goal LDL<100.Actually depends on HDL levels whether they are raised.

Eagle_303
Forum Elite

Topics: 26
Posts: 318

07/04/08 - 07:57 PM

Here she has only one risk factor i.e DM ,so < 130 is ok .

hero
Forum Guru

Topics: 38
Posts: 504

07/04/08 - 08:46 PM

she has both CAD and DM.
the target for pt with history of CAD and and another major risk factor is and LDL <70 (regardless of HDL)

i thought that it is CAD and its equivalent target <100, but it appears that if combo - <70, if CAD or its equivalent - <100

p.s. it's Fischer's question

Eagle_303
Forum Elite

Topics: 26
Posts: 318

07/04/08 - 08:49 PM

hero wrote:
she has both CAD and DM.
the target for pt with history of CAD and and another major risk factor is and LDL <70 (regardless of HDL)

i thought that it is CAD and its equivalent target <100, but it appears that if combo - <70, if CAD or its equivalent - <100

p.s. it's Fischer's question

CAD even alone means target for LDL is < 100 .But stem question says that she is evaluated for CAD but does not mention if she has CAD. Is this not so ??

hero
Forum Guru

Topics: 38
Posts: 504

07/04/08 - 08:49 PM

i need to improve my preventive medicine level of knowledge. Any advice appreciated

hero
Forum Guru

Topics: 38
Posts: 504

07/04/08 - 08:51 PM

Eagle_303 wrote:

CAD even alone means target for LDL is < 100 .But stem question says that she is evaluated for CAD but does not mention if she has CAD. Is this not so ??

sorry, dear, it is how it was written, very confusing

GOGETA
I'm Dr. GOGETA
avatar

Topics: 321
Posts: 2,718

07/05/08 - 08:22 AM

Here comes the idiotic question of the day from me

If they do not have disease less than 130 LDL
If they have disease less than 100 LDL

If patient with no disease has more than 130 LDL you start with simvastatina.
If patient has disease with more than 100 you start simvastatina

CORRECT?

thank you

___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

Eagle_303
Forum Elite

Topics: 26
Posts: 318

07/05/08 - 11:38 AM

GOGETA wrote:
Here comes the idiotic question of the day from me

If they do not have disease less than 130 LDL
If they have disease less than 100 LDL

If patient with no disease has more than 130 LDL you start with simvastatina.
If patient has disease with more than 100 you start simvastatina

CORRECT?

thank you

Hope this helps all of us

SECONDARY PREVENTION WITH ATHEROSCLEROSIS OR DIABETES MELLITUS

:

1.

All patients: fasting lipid profile

2.

If <100 mg/dl: instruction on diet and exercise, and repeat annually

3.

If >100 mg/dl: drug therapy required

SECONDARY PREVENTION WITH ATHEROSCLEROSIS AND DIABETES MELLITUS

:

1. Now classified as very high risk

2.

Fasting lipid profile for all patients

3.

If >70, drug therapy required

Edited by Eagle_303 on 07/05/08 - 11:52 AM

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