Cardiovascular disease is a catch all term that includes coronary artery disease leading to heart attacks, cerebrovascular disease causing TIAs or strokes, and peripheral vascular disease causing poor blood supply to the extremities. The underlying disease process in all three involves atherosclerotic plaque build up in arteries leading to blockages. Screening is recommended to start with a baseline lipid panel to allow detection of abnormally high cholesterol levels high that require lipid lowering therapy. Cardiovascular risk assessment using validating risk prediction models require the input of lipid measurements as well as screening for traditional cardiovascular risk factors incudling blood pressure measurement, and history of high blood pressure, high cholesterol, tobacco use, and diabetes.
1. Fasting Lipid Panel
3. In office blood pressure measurement, BMI
1. Adults age 20 years or older should have their cholesterol measured .
2. In Adults 40 years or older as part of cardiovascular disease risk assessment
3. hs-CRP levels may determine type of statin therapy. Elevated levels have been associated with heart attack and stroke.
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