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Case 1:

Primary Prevention
Patient.

A 46-Year-Old Male,

N smoker,

|

Identify the Prevention
Type

Is this primary or secondary prevention?

Primary Prevention
No prior ASCVD event.
Secondary Prevention
Prior MI, stroke, PAD, or revascularization.
This algorithm
concentrates on primary prevention.

Lipid Profile

Check:

LDL-C
Non-HDL-C
Triglycerides
Lp(a) occurs once
in a lifetime.
ApoB if residual
risk is suspected.

Prevent ASCVD Risk Calculation

Use the ACC/AHA PREVENT equation.
Age range: 30-79 years

Low: < 3 %
Borderline: 3-5%.
Intermediate:
5-<10%.
High: ≥ 10%

Primary prevention decision

The treatment pathway

A:
LDL ≥ 190 mg/dL
Start taking
high-intensity statins
immediately.
B:
Diabetes + Age:
40-75 Start
with a moderate-
intensity statin.
C: Borderline/intermediate risk
CAC Score
Family history
CKD
Consider
this:
South Asian
ethnicity
The metabolic
syndrome
Lp(a) is elevated.
D:
A high risk
Begin statin treatment with an LDL target of less than 70 mg/dL.

Thank You

for your attention

We hope this interactive overview of the ASCVD primary prevention algorithm has been informative and clinically useful.

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