Family Medicine (NEW)

Treatment approach for primary prevention of dyslipidemia

David Mikhail Family Medicine (NEW)
Screening should be repeated every 5 years for men and women aged 40-75 years using the modified FRS or Cardiovascular Life Expectancy Model (CLEM) to guide therapy to reduce major CV events. A risk assessment might also be completed whenever a patient’s expected risk status changes. 

ApoB, apolipoprotein B; ASCVD, atherosclerotic cardiovascular disease; AU, Agatston units; BAS, bile acid sequestrant; CAC, coronary artery calcium; CAD, coronary artery disease; CV, cardiovascular; FHx, family history; HDL-C, high-density lipoprotein cholesterol; hsCRP, high-sensitivity C-reactive protein; HTN, hypertension; FRS, Framingham Risk Score; IFG, impaired fasting glucose; LDL-C, low-density lipoprotein cholesterol; Lp(a), lipoprotein(a); mins, minutes; Rx, treatment; yrs, years

Reference: Pearson, G. J., Thanassoulis, G., Anderson, T. J., Barry, A. R., Couture, P., Dayan, N., … & Wray, W. (2021). 2021 Canadian Cardiovascular Society guidelines for the management of dyslipidemia for the prevention of cardiovascular disease in adults. Canadian journal of cardiology, 37(8), 1129-1150

https://onlinecjc.ca/article/S0828-282X(21)00165-3/fulltext#seccesectitle0001 

Diagnostic algorithm for the diagnosis of hypertension

Jimin Lee Family Medicine (NEW)

  • mean automated office BP (AOBP) or office BP measurement (OBPM) sBP is ≥180 mmHg or dBP is ≥110 mmHg = HTN
  • if diabetic, OBPM ≥130/80 mmHg for ≥3 measurements on different days = probable HTN, rule out white coat HTN
  • if not diabetic and AOBP ≥135/85 mmHg or OBPM ≥140/90 mmHg, rule out white coat HTN
  • ambulatory BP monitoring (ABPM) daytime mean ≥135/85 mmHg OR ABPM 24 hr mean ≥130/80 mmHg = HTN
  • Home BP monitoring (HBPM) series mean ≥125/85 mmHg = HTN

 

Rabi DM, McBrien KA, Sapir-Pichhadze R, et al. Hypertension Canada’s 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children. Canadian Journal of Cardiology. 2020;36(5):596–624. https://guidelines.hypertension.ca/diagnosis-assessment/diagnosis-assessment-diagnosis/