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(Kindly fill in the relevant information or tick, as appropriate.)
< 5 years
6-10 years
11-20 years
> 20 years
Multi-specialty hospital
Clinic/ nursing home
Government hospital/ medical college
Mixed
<10
10-20
>20
Age ≥ 45
BMI ≥ 25 kg/m2
Hypertension
Diabetes
Family history of ASCVD
Smoking
CKD
All
First visit of any patient to clinic
First visit of patient with associated cv risk factors to clinic
Only Before initiating statin
During worsening of risk factors – like increasing HbA1c, or high Blood Pressure
Every 6 weeks
Every 3 months
Every 6 months
Yearly
Nothing specific
Yes
No
Only in high-risk patient
Use standard target for all patients
According to baseline lipid levels
According to risk stratification of the patient
Combination (Baseline lipid + risk of the patient) approach
In your practice what is your preference of using lipid lowering agent in primary prevention for following patient profile. (Please rank from 1 -4 with 1 being most and 4 as least)
a. Type 2 diabetes with atherogenic dyslipidaemia (LDL > 160 mg/dl, TG-200-499 mg/dl, HDL< 40 mg/dl without CHD or CHD risk equivalents)
b. Moderate Hypertriglyceridemia (TG-200-499 mg/DL and LDL at goal)
c. Patients with borderline high LDL level (LDL- 130-160 mg/dl, normal TG < 200 mg/dl, without CHD or CHD risk equivalents)
d. Young patients with LDL level between 160 to 200 mg/dl, normal TG < 200 mg/dl, with CHD risk equivalents like smoking and obesity)
90-100%
80-90%
70-80%
<70%
<50%
Escalate Statin dose
Switch to another statin
Add on non-statin drugs like Ezetimibe / Bempedoic Acid
Any Other
5-10%
10-20%
20-30%
>30%
Myalgia
Arthralgia
Increased CPK (Creatine Phosphokinase)
Elevated ALT (Alanine transaminase)
Reducing statin dose
Stopping statin and restarting at lower dose
Using alternate statin
Using non-statin drugs
Atorvastatin
Rosuvastatin
Very important
Somewhat
Not important
< 10%
10-15%
15-20%
> 25%
Don’t Know
Atorvastatin 80mg
Atorvastatin 40mg
Rosuvastatin 40mg
Rosuvastatin 20mg
Atorvastatin 10-20mg
Rosuvastatin 5-10mg
Age over 40 yrs Age below 40 yrs Overweight / Obesity Comorbid diseases LDL-C level CAD Family history of ASCVD in a first-degree relative Smoking