{"id":41224,"date":"2014-01-23T12:55:59","date_gmt":"2014-01-23T17:55:59","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=voices&#038;p=41224"},"modified":"2014-01-23T12:55:59","modified_gmt":"2014-01-23T17:55:59","slug":"prevention-guidelines-in-practice-vignette-2","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2014\/01\/23\/prevention-guidelines-in-practice-vignette-2\/","title":{"rendered":"Prevention Guidelines in Practice: Vignette 2"},"content":{"rendered":"<p><i>This vignette is the second in our series \u201c<a href=\"http:\/\/blogs.nejm.org\/cardioexchange\/voices\/series-making-sense-of-the-new-prevention-guidelines-the-view-from-clinical-practice\/\">Making Sense of the New Prevention Guidelines \u2014 The View from Clinical Practice<\/a>\u201d<\/i><\/p>\n<p>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\/m\u00b2. Fasting lipid panel shows an LDL of 150 mg\/dL.<\/p>\n<ul>\n<li><strong>Should other markers of risk be obtained? CRP, Lp(a), CIMT, CAC score?<\/strong><\/li>\n<li><strong>Do you recommend any specific treatment \u2013 should he take a statin?<\/strong><\/li>\n<li><strong>Have the new ACC\/AHA guidelines (<a href=\"http:\/\/jaccjacc.cardiosource.com\/acc_documents\/2013_FULL_Guideline_Assesment_Cardiac_Risk.pdf\">risk assessment<\/a>, <a href=\"http:\/\/jaccjacc.cardiosource.com\/acc_documents\/2013_FULL_Blood_Cholesterol_GuidelineRR.pdf\">blood cholesterol<\/a>) influenced your approach to this patient?<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This vignette is the second in our series \u201cMaking Sense of the New Prevention Guidelines \u2014 The View from Clinical Practice\u201d 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 [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,7],"tags":[2092,215],"class_list":["post-41224","post","type-post","status-publish","format-standard","hentry","category-general","category-prevention","tag-lipid-guideline","tag-risk-assessment"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/41224","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/202"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=41224"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/41224\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=41224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=41224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=41224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}