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Low Risk Example
Read through the following 3 cases to see various ways you might use the risk assessment tool in different situations.
Low Risk Case 3
David is a male patient aged 46 with 110/80 mm Hg blood pressure, total serum cholesterol of 6.5 mmol/L and HDL cholesterol of 1.2 mmol/L before another GP put him on statins, with no history of diabetes or family CVD. He has a healthy BMI of 23 and smokes occasionally when stressed at work.
Feedback
The patient’s 5 year CVD risk is 9% in the low risk category so medication is not recommended.
If patients appear to be at high risk of a CVD event due to isolated risk factors, they may have been put on blood pressure or cholesterol medication in the past before absolute risk guidelines came into effect, or by another health professional. If the patient is not happy with this medication you may consider conducting a risk assessment based on their pre-medication risk factors, to help decide whether the benefit of medication is worthwhile to the patient or not.
The other challenge is obviously trying to educate people on sort of a new way of thinking…they just think if I have blood pressure I need to be treated with something else, I need to be on medication
Open Peer Discussion- Clinical resources
- Case studies
- Peer discussion
Peer discussion
Low Risk Case 3
David is a male patient aged 46 with 110/80 mm Hg blood pressure, total serum cholesterol of 6.5 mmol/L and HDL cholesterol of 1.2 mmol/L before another GP put him on statins, with no history of diabetes or family CVD. He has a healthy BMI of 23 and smokes occasionally when stressed at work.
Feedback
The patient’s 5 year CVD risk is 9% in the low risk category so medication is not recommended.
If patients appear to be at high risk of a CVD event due to isolated risk factors, they may have been put on blood pressure or cholesterol medication in the past before absolute risk guidelines came into effect, or by another health professional. If the patient is not happy with this medication you may consider conducting a risk assessment based on their pre-medication risk factors, to help decide whether the benefit of medication is worthwhile to the patient or not.