Curriculum
- 40 Sections
- 111 Lessons
- 10 Weeks
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- CARDIOVASCULAR RISK ASSESSMENT & PREVENTION3
- SMOKING CESSATION3
- LIPID MODIFICATION & CVD PREVENTION2
- FAMILIAL HYPERCHOLESTEROLEMIA4
- HTN3
- HTN IN PREGNANCY3
- T1DM3
- T2DM4
- ANGINA3
- CHEST PAIN2
- CARDIAC ARREST – BLS• Out-of-hospital cardiac arrest: ~60,000 cases/year, <10% survival rate • Early defibrillation (3-5 mins): increases survival by 50-70%1
- POST MI – SECONDARY PREVENTION2
- TIA & STROKES 84
- BLACKOUTS & SYNCOPE3
- AAA3
- PERIPHERAL ARTERY DISEASE3
- BREATHLESSNESSEMERGENCY ACTION: - If SpO2 <94% (not baseline): give oxygen and call 999.2
- DVT3
- PULMONARY EMBOLISM4
- COMPRESSION STOCKINGS2
- VENOUS INSUFFICIENCY2
- SUPERFICIAL VEIN THROMBOSIS3
- VARICOSE VEINS3
- ANTICOAGULANT’S3
- ANTI-PLATELETS3
- HEART FAILURE4
- INFECTIVE ENDOCARDITITS3
- RheumaDc fever, MyocardiDs & PericardiDs3
- CARDIOMYOPATHY3
- Valve diseases & other structural abnormalities2
- ATRIAL FIBRILLATION4
- ECG’S1
- PALPITATIONS3
- CHRONIC KIDNEY DISEASE (CKD)3
- ERECTILE DYSFUNCTION 262
- PMR & GCA4
- RAYNOUD’S3
- VARICOCELE3
- TIREDNESS & FATIGUE IN ADULTS2
DEFINITION, PREVALENCE & RISK FACTORS
DEFINITION
- Autosomal dominant genetic condition affecting cholesterol metabolism – Usually heterozygous (Homozygous form is rare)
PREVALENCE
- Ratio 1:250-500 (heterozygous)
RISK FACTORS
- As it is a genetic condition, there are no modifying factors that could be targeted in primary care. However, the usual modifiable risk factors for cardiovascular disease can exacerbate hypercholesterolemia.
- Family history of premature coronary heart disease in a first-degree relative <60 years – Total cholesterol >7.5 mmol/L (for heterozygous), >10mmol/L (Homozygous) – High-risk categories:
- Age <30 years with total cholesterol >7.5 mmol/L
- Age >30 years with total cholesterol >9 mmol/L
- Children 0-10 years with a parent having FH