Absolute CVD risk a practical update
Absolute CVD risk ? a practical update
Health professional webinar
Tuesday 30th April 2019
Panellists:
Prof Nigel Stocks (facilitator) Prof Mark Nelson Dr Carissa Bonner Prof Kim Greaves
Absolute CVD risk ? we have come a long way
2009
2
2012
General statement for lipid lowering medicines modified ? statins can be prescribed
in line with absolute risk approach
2017
Implementation Education Incorporation into primary
care guidelines Absolute risk calculators
built into GP clinical software
2019
New Heart Health Check MBS item dedicated to absolute CVD risk assessment
Item 699 & Item 177
Absolute CVD risk ? still work to be done
1. High risk patients are missing out on evidence-based blood pressure and lipid lowering therapy
Over 70% of high CV risk patients missing out on BP + lipid lowering therapy
43% of high CV risk patients not prescribed a statin
Figure 1: Estimated distribution of Australians receiving BP lowering and/or lipid-lowering medications, by absolute risk of CVD1
Figure 2: Proportion of patients aged 45?74 years at high CV risk according to statin treatment and prevention status2
3 1. Med J Aust 2016; 204 (8): 320 2. NPS MedicineWise, General Practice Insights Report July 2016?June 2017: A working paper
Case example ? Mr X
CVD risk factors
.au
4
Best practice risk communication
5
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