Sunday, 3 April 2011

MRCP/MRCGP Hyperlipidemia , Statins and Liver function tests

Who should receive statins
All patients with previous cardiovascular events
All patients older than 40 years with 10 years cardiovascular risk > 20%

Aim for treatment
currently some guidance say aim for cholesterol <4 others are saying for cholesterol < 5
NICE has no recommendation for that

current guidance for statins is stop them only if Liver function tests rise above 3 reference range That is ALT more than 135

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