Hi Rob
What about his weight, BMI, diet habits, exercise. TFT need to be assessed.
I guess from GGT level that he stll drinks alcohol excessively. His life
style parameters should be tackled first. Although the patient is symptom
free he needs an ECG as a standard investigation if he was seen as a new
patient. Titrating him with a statin, preferably pravastatin in his case, is
not a contraindication if you manage, in the first instance, to get his GGT
to an acceptable level
Afaf
-----Original Message-----
From: Clinical biochemistry discussion list
To: [log in to unmask]
Sent: 30/01/07 09:40
Subject: Lipids - treatment in liver disease
A lipid question!
I am seeing a patient with a history of alcoholic liver
disease with varices who has been under the care of
regional liver unit.
Patient recently noted xanthelasmata and went to GP. GP
checked lipids and referred.
Chol = 14.8 mmol/l (checked) Trig 2.8, HDL 1.89, LDL 11.7.
LFT show normal ALT with bilrubin 55 umol/l, GGT 8 x ULN
and Alk phos 1.5 x ULN.
No tendon xanthoma, arcus, family history of IHD.
Do I treat his cholesterol as an IHD risk with a statin?
He has no symptoms of IHD and no other 'standard' risk
factors.
Many thanks
Rob
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