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The 2009 New Zealand Cardiovascular Guidelines Handbook PowerPoint Presentation
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The 2009 New Zealand Cardiovascular Guidelines Handbook - PowerPoint PPT Presentation


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The 2009 New Zealand Cardiovascular Guidelines Handbook. What’s new?. NZGG has updated the Cardiovascular Guidelines Handbook. There are several changes that may affect day-to-day practice. Cardiovascular Risk charts. Charts are now easier to use.

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NZGG has updated the Cardiovascular Guidelines Handbook.
  • There are several changes that may affect day-to-day practice.
cardiovascular risk charts
Cardiovascular Risk charts

Charts are now easier to use

  • Ages bands on the risk charts now state an age range (i.e. 55–64 years), instead of choosing the age closest to the patient (i.e. 60 years)
  • Only systolic blood pressure is required for the calculation of risk
non fasting bloods may be collected
Non-fasting bloods may be collected

Do non-fasting bloods instead of risking losing a patient

  • Fasting blood tests remains recommended practice
  • Non fasting bloods may be used for:
    • Chol/HDL ratio
    • HbA1c
renal disease recognised
Renal disease recognised
  • People with CKD begin risk assessments 10 years earlier
  • ACR (albumin:creatinine ratio) and eGFR can be used for assessing renal function
lipids target lowered
Lipids target lowered
  • More aggressive treatment may be required
  • Optimal targets for lipids for those at higher risk changed:
    • LDL now < 2.0mmol/L (was < 2.5 mmol/L)
    • Chol/HDL ratio now < 4.0 (was < 4.5)
    • Cholesterol < 4.0 mmol/L (no change)
new blood pressure target for ckd
New blood pressure target for CKD
  • More aggressive treatment of BP may be required for people with CKD.
  • Target < 125/75 mmHg for all people with chronic kidney disease.
change to frequency of cvd risk assessment
Change to frequency of CVD risk assessment
  • Update recalls for people with a CVD risk of 10–15%
  • For people with a CVD risk of between 10–15%, recheck every 2 years (was every 5 years).
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New Zealand Cardiovascular Guidelines Handbook 2009 Edition. Available from: www.nzgg.org.nz (downloadable online version plus order form for hard copy).