if your system still uses framingham scores then dont forget that it overestimates CVS risk by 30%.
> Date: Sun, 18 Nov 2007 14:05:02 +0000
> From: [log in to unmask]
> Subject: Simple, sensible Lipids protocol
> To: [log in to unmask]
>
> Anyone have one? I am presently writing one for our practice as we
> seem to be doing an inordinate number of lipids with all the
> subsequent workload. The Darlington PCT Guidelines seem reasonable,
> although I do not think we will go above 40mgs with Simvastatin. We
> are then likely to switch the non-responders to Atorva. I notice that
> these guidelines suggest a switch from Simva 40 to Atorva 40. Do
> others think there is any merit in starting at 10mgs? From past
> experience I have found Atorva 10 to be very effective. Additionally
> what is the rationale for switching those with side effects to
> Pravastatin?
>
> Unable to tolerate a statin - is it then reasonable to just go with Ezetrol??
>
> We have a large number of patients labelled as 'hyperlipidaemia' - I
> want to make things as simple as possible. And am thinking of 5
> groups:-
>
> Secondary prevention for IHD, PVD & Cerebrovascular Disease
> Diabetics
> Primary prevention for CVD risk >
> Those with CVD risk 17-20 - Re-code as 'Raised lipids' - Re-test at 3 years
> Those with CVD risk <17 - Re-code as 'Raised lipids' - re-test no
> sooner than 5 years.
>
> Any thoughts, and for simplicity should we lump all diabetics together
> or just follow the age related guidelines? Thoughts please??
>
> --
> Best Wishes
>
> Paul Bromley
>
> www.informatiks.com
> Custom EMIS LV Software.
> vuE | GPLabels | GPDocs | eGFRChecker
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