managing elevated lipids in primary care
play

Managing elevated lipids in primary care Take home messages EPCCS - PowerPoint PPT Presentation

Feb 09, 2024 •15 likes •85 views

Managing elevated lipids in primary care Take home messages EPCCS Consensus Guidance for Primary Care EPCCS consensus guidance on managing elevated lipids: take home messages Evidence for lipid-lowering therapy to lower CV risk LDL-c LDL-c is

  1. Managing elevated lipids in primary care Take home messages EPCCS Consensus Guidance for Primary Care

  2. EPCCS consensus guidance on managing elevated lipids: take home messages Evidence for lipid-lowering therapy to lower CV risk LDL-c LDL-c is an atherogenic particle and major risk factor for CVD Lowering LDL-c reduces CVD events substantially and consistently LDL-c is currently the only lipid risk factor and an important treatment target to lower CVD risk Other lipids and lipoproteins: Currently not risk factors Can serve as risk markers, but are not treatment targets Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

  3. EPCCS consensus guidance on managing elevated lipids: take home messages CV risk assessment Different treatment goals have been defined for different risk factors CV risk assessment tools can guide management decisions and prevent under- and overtreatment SCORE risk tables may underestimate risk in young persons and overestimate risk in elderly persons - in young : speak of risk age or lifetime risk - in elderly : use risk calculator specifically developed for elderly patients Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

  4. EPCCS consensus guidance on managing elevated lipids: take home messages Management options for hypercholesteremia (1/2) Lifestyle modification Limit dietary fatty acids intake Saturated and trans fatty acids should be lower than 10% and 1% of total energy intake, respectively. Effect of dietary cholesterol is less clear, and less prominent than that of saturated and transfatty acids. Dietary fibre intake (25-30 g/day) can lower total cholesterol and LDL-c Body weight control can lower total cholesterol, LDL-c and triglycerides Physical activity mostly increases HDL-c and lowers triglycerides Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

  5. EPCCS consensus guidance on managing elevated lipids: take home messages Management options for hypercholesteremia (2/2) Pharmacological treatment: First-line treatment: Statins at the highest tolerable dose in high-risk patients with LDL-c > 3.0 mmol/L (116 mg/dL) Additional lipid-lowering agents if treatment targets are not met Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

  6. EPCCS consensus guidance on managing elevated lipids: take home messages Currently available lipid-lowering therapies Statins are the first choice of treatment and should be titrated to the highest tolerated dose Clinical benefit of combination therapy has only been demonstrated of treatment with ezetimibe and statins, and of PCSK9 inhibitors on top of statins with or without ezetimibe The impact of LDL-c lowering on reduction of major vascular events is similar across the spectrum of LDL-c levels Statins Ezetimibe Very low LDL-c levels (<0.65 mmol/L [<25 mg/dL]) as achieved with PCSK9 inhibitors have been found to be safe, although long-term safety remains to be PCSK9 inhibitors established Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

  7. EPCCS consensus guidance on managing elevated lipids: take home messages Challenges faced in clinical reality The majority of patients eligible for lipid-lowering therapy are not treated with adequate statin therapy Statin therapy is remarkably safe. In case of (perceived) statin intolerance, rechallenging with another statin or a lower dose, is a succesful strategy Negative media attention on statins can affect therapy adherence, but so can positive stories Big data methods increasingly allow to categorise patients more precisely and to tailor therapy to an individual’s need and risk Slide set accompanying the EPCCS Consensus Guidance for Primary Care, on Managing elevated lipids. Downloadable from IPCCS.org

Recommend

Physiology Your medical assistant advises you to be prepared for multiple concerns Definitions

Physiology Your medical assistant advises you to be prepared for multiple concerns Definitions

Managing Thyroid Disease in Primary Care Best Practices Pearls Have a low threshold to test for thyroid disease Treatment of both subclinical and Managing Thyroid Disease overt disease should be individualized in Primary Care and monitored

129 views • 9 slides
AKI in Primary Care AKI: Context and focus for primary care Definition, staging and

AKI in Primary Care AKI: Context and focus for primary care Definition, staging and

Acute Kidney Injury (AKI) In Primary Care Supporting early detection and consistent management Responding to AKI Warning Stage Test Results for Adults in Primary Care: Best Practice Guidance AKI in Primary Care AKI: Context and focus for

783 views • 35 slides
Chapter 11 Lipids Problems: 2-8,10-12,15-17. Lipids are essential components of all living

Chapter 11 Lipids Problems: 2-8,10-12,15-17. Lipids are essential components of all living

Chapter 11 Lipids Problems: 2-8,10-12,15-17. Lipids are essential components of all living organisms Lipids are water insoluble organic compounds They are hydrophobic (nonpolar) or amphipathic (containing both nonpolar and polar

383 views • 21 slides
Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care Strategic Model Proactive Responsive Primary Keeping people Coordinated Extended Primary Care well Primary Care Care Bringing care closer

466 views • 9 slides
Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care First (PCF) Primary Care First Goals Primary Care First Overview 5-year alternative payment model To reduce Medicare spending by 1 preventing

550 views • 19 slides
in Primary Care Jaimini Cegla MRCP FRCPath PhD, Consultant in Metabolic Medicine Hammersmith

in Primary Care Jaimini Cegla MRCP FRCPath PhD, Consultant in Metabolic Medicine Hammersmith

Lipids for Medics in Primary Care Jaimini Cegla MRCP FRCPath PhD, Consultant in Metabolic Medicine Hammersmith Hospital Lipid Clinic, Imperial College Healthcare NHS Trust September 2018 Format 1. CV Risk and lipid lowering 2. Familial

739 views • 70 slides
SBIRT+RM Conceptual Framework for Managing Substance Use Disorders in Primary Care Settings

SBIRT+RM Conceptual Framework for Managing Substance Use Disorders in Primary Care Settings

SBIRT+RM Conceptual Framework for Managing Substance Use Disorders in Primary Care Settings Institute for Research, Education and Training in Addictions (IRETA) Wednesday Webinar: September 20, 2017 Katherine Fornili, DNP, MPH, RN, CARN, FIAAN

489 views • 33 slides
Learning Objectives Communicate risk factors associated with not getting enough sleep

Learning Objectives Communicate risk factors associated with not getting enough sleep

Managing Sleep Health in Primary Care Managing Sleep Health in Primary Care Paul P. Doghramji, MD, FAAFP Family Practice Physician Collegeville Family Practice &amp; Pottstown Medical Specialists, Inc. Medical Director of Health Services,

552 views • 30 slides
Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Information for Payers 1 Comprehensive Primary Care Plus Center for Medicare &amp; Medicaid Innovation Three Main Goals Underlie CPC+ 1 A dvance care

515 views • 22 slides
Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager Emily Plane Head of Primary Care 24 July 2019 Why Primary Care Networks? - PCNs are the key building block of the NHS Long Term Plan. - At

1.1k views • 14 slides
Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Through

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Through

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Through Multi-Payer Partnership LAN Summit April 26, 2016 Laura Sessums, JD, MD 1 Comprehensive Primary Care Plus Center for Medicare &amp; Medicaid

568 views • 20 slides
Steve McInnes Primary Care Relationship Manager NHS Portsmouth CCG Primary Care engagement

Steve McInnes Primary Care Relationship Manager NHS Portsmouth CCG Primary Care engagement

Steve McInnes Primary Care Relationship Manager NHS Portsmouth CCG Primary Care engagement Clinical and Practice engagement Facilitating quality improvements in primary care Commissioning of local primary care services Patient

421 views • 13 slides
primary care: The GP perspective Dr Miguel Angel Muoz. Institut Catal de la Salut and Primary

primary care: The GP perspective Dr Miguel Angel Muoz. Institut Catal de la Salut and Primary

Managing heart failure in primary care: The GP perspective Dr Miguel Angel Muoz. Institut Catal de la Salut and Primary Healthcare University Research Institute IDIAP-Jordi Gol (Barcelona. Spain). Primary Healthcare Cardiovascular Research

513 views • 48 slides
Legally Speaking Understanding and managing common legal issues in the primary care setting

Legally Speaking Understanding and managing common legal issues in the primary care setting

Legally Speaking Understanding and managing common legal issues in the primary care setting Presenter Caroline M. Dellenbusch, J.D. Attorney Counselor Mediator Goals and Objectives Learn and understand legal terms that often occur in

706 views • 44 slides
PRIMARY EYE CARE AND CHILDHOOD BLINDNESS PRIMARY EYE CARE TRAINING Training will be provided

PRIMARY EYE CARE AND CHILDHOOD BLINDNESS PRIMARY EYE CARE TRAINING Training will be provided

ACTIVITIES PLANNED FOR PRIMARY EYE CARE AND CHILDHOOD BLINDNESS PRIMARY EYE CARE TRAINING Training will be provided to primary health care teams (DMOs/MOHs/PN/PHI/PHMW) Training will concentrate on screening and identification of common

267 views • 26 slides
Im Sick or Hurt Where Do I Go? Getting the Right Care in the Right Setting Primary Care

Im Sick or Hurt Where Do I Go? Getting the Right Care in the Right Setting Primary Care

Im Sick or Hurt Where Do I Go? Getting the Right Care in the Right Setting Primary Care Many Emergency and Urgent Care visits can be prevented with timely access to Primary Care Physician (PCP) PCPs specialize in General Practice,

126 views • 8 slides
1 Interprofessional Collaboration Primary care is the central pillar of health care. The

1 Interprofessional Collaboration Primary care is the central pillar of health care. The

Created in 2005 Why this Forum? The European Forum for Primary Care is situated at the NIVEL institute in the Dissemination of expertise and knowledge on Netherlands. Primary Care systems Board members from Belgium, UK, Support

346 views • 5 slides
Primary Care Road Map to Recovery Primary Care Practices June 18, 2020 Primary Care Road Map to

Primary Care Road Map to Recovery Primary Care Practices June 18, 2020 Primary Care Road Map to

Primary Care Road Map to Recovery Primary Care Practices June 18, 2020 Primary Care Road Map to Recovery Training will be recorded Questions will be at the end of the presentation Post-Survey Questionnaire CME/CEU Credits

837 views • 57 slides
2020 Symposia Series 1 Managing the Spectrum of Psoriatic Disease in Primary Care Learning

2020 Symposia Series 1 Managing the Spectrum of Psoriatic Disease in Primary Care Learning

2020 Symposia Series 1 Managing the Spectrum of Psoriatic Disease in Primary Care Learning Objectives Implement screening for CV disease, metabolic syndrome, and psoriatic arthritis (PsA) in patients with psoriasis Identify side effects

850 views • 59 slides
Definition Definition Pre-conception Care Pre-conception Care for Primary Care for Primary

Definition Definition Pre-conception Care Pre-conception Care for Primary Care for Primary

Definition Definition Pre-conception Care Pre-conception Care for Primary Care for Primary Care Providers Providers Biomedical &amp; behavioral interventions that identify and address reversible risks to a woman s health that must be

427 views • 13 slides
Comprehensive Primary Care Plus Information for Health IT Vendors 1 Comprehensive Primary Care

Comprehensive Primary Care Plus Information for Health IT Vendors 1 Comprehensive Primary Care

Comprehensive Primary Care Plus Information for Health IT Vendors 1 Comprehensive Primary Care Plus Center for Medicare &amp; Medicaid Innovation Three Main Goals Underlie CPC+ 1 Advance care delivery and payment to allow practices to provide

496 views • 15 slides
What are specific structured lipids (SL) Lipids with a predetermined fatty acid profile and a

What are specific structured lipids (SL) Lipids with a predetermined fatty acid profile and a

What are specific structured lipids (SL) Lipids with a predetermined fatty acid profile and a specific structure, e.g.: C8:0 C18:2 C8:0 Produced by e.g. 1,3 specific lipase (Lipozyme RM IM) Purified by e.g. short path destillation

354 views • 3 slides
Primary Care: Its Essential Role in Value-Based Health Care NCHC Primary Care Forum March 1,

Primary Care: Its Essential Role in Value-Based Health Care NCHC Primary Care Forum March 1,

Primary Care: Its Essential Role in Value-Based Health Care NCHC Primary Care Forum March 1, 2017 Nitin S. Damle, MD, MS, MACP President, American College of Physicians Medicare Payments Uncertain Prior to MACRA Sustainable Growth Rate

130 views • 9 slides
in Primary Care During COVID-19 May 21, 2020 10-11am PDT 1 Agenda Welcome and

in Primary Care During COVID-19 May 21, 2020 10-11am PDT 1 Agenda Welcome and

Managing Chronic Conditions in Primary Care During COVID-19 May 21, 2020 10-11am PDT 1 Agenda Welcome and information Polling questions OHSU Hillsboro IM and Q&amp;A Springfield Family Physicians and Q&amp;A

571 views • 22 slides

More recommend