Statins

[esorekim05]

They haven’t updated lipid guidelines since the publication of PREVENT. So, most recent guidelines still use pooled cohort ascvd calculator.

And where did I say a CAC of 0 can’t allow safe depreciation of statins in patients hoping to avoid (although the logic of this isn’t great in younger patients seeking long term prevention)?


Sent from my iPhone using Tapatalk

 

[wapitibob]

You, of all people, should know better than to recommend statins based on a 1990s calculator that was developed before CAC imaging even existed without first checking CAC. It absolutely negates your stated indication for a simple ASCVD score of >7.5%. Even at 10%, the recemmendstion from the 2018 ACC/AHA Cholesterol Guideline (Section 7.4.2.1) specifically says:

“If the CAC score is zero, it is reasonable to withhold or delay statin therapy, except in cigarette smokers, those with diabetes mellitus, or those with a strong family history of premature ASCVD.”

He's a DR, who are you?