By vgreene, 27 January, 2020 Mod intensity 30 49 LDL C lowering atorvastatin 10 or 20 mg rosuvastatin 5 or 10 mg simvastatin 20 40 mg pravastatin 40 or 80 mg lovastatin 40 or 80 mg fluvastatin XL 80 mg fluvastatin 40 mg bid pitavastatin 1 4 mg
By vgreene, 27 January, 2020 Individualize shared decision making for primary prevention in pts 75 yo factoring ASCVD risk 1 health status susceptibility to statin related risks pt preference AACE states that many older individuals benefit from lipid lowering 2 Heart healthy lifestyl
By vgreene, 27 January, 2020 Stopping statin reasonable when risks/adverse effects outweigh meaningful benefit, d/t physical/cognitive decline, life expectancy, etc
By vgreene, 27 January, 2020 If LDL-C 70-189: After discussion, may be reasonable to start mod-intensity statin, though data limited; if 76-80 yo, may be reasonable to measure CAC,1 since zero CAC score could avoid statin for some
By vgreene, 27 January, 2020 Mod-intensity (30%-49% LDL-C lowering): atorvastatin 10 or 20 mg, rosuvastatin 5 or 10 mg, simvastatin 20-40 mg, pravastatin 40 or 80 mg, lovastatin 40 mg or 80 mg, fluvastatin XL 80 mg, fluvastatin 40 mg BID, pitavastatin 1–4 mg
By vgreene, 27 January, 2020 Individualize shared decision-making for primary prevention in pts ≥75 yo, factoring ASCVD risk,HR,RE health status, susceptibility to statin-related risks, & pt preference. AACE states that many older individuals benefit from lipid lowering.2 Heart-healt