Cardiovascular risk assessment in asymptomatic hypertension and diabetes
If a person is - 45+ Asymptomatic Hypertension and Diabetes are controlled Abdominal circumference is high Lipid profile is mildly deranged. What routine investigations should he get done as a preventative measures and to know his cardiac status ?
this person is HIGH RISK for cardiovascular disease and needs his/her LDL aggressively controlled to as low as possible below 70 (personally would like to see closer to 50’s). Would also consider Coronary CT (although hard evidence for this is somewhat lacking). There is no “mildly deranged” lipid panel—only specific LDL goals….This is where many South Asians err in management —the doctor tells them the lipid panel is “OK” or “mildly abnormal” but it is NOT OK. Additionally aggressive weight reduction and lifestyle change is critical—if BMI is particularly high—also consideration for Semaglutide like medication.