Gives recommendations based on the 2013 AHA/ACC guidelines for starting statin therapy.
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Does the patient have diabetes?
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YES
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is their 10-year risk <7.5%?
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NO
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Start high-intensity statin therapy.
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NO
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NO
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Have they previously had an ischemic event (ACS or ischemic stroke)?
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YES
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Start moderate-intensity statin therapy.
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NO
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Is their LDL>189?
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YES
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Start moderate-intensity statin therapy.
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NO
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Do they have a 10-year risk >7.5%?
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YES
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Start moderate-intensity statin therapy.
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NO
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Is clinical judgement still uncertain (i.e., questionable history of event, borderline LDL, or 10-year-risk near 7.5%)?
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YES
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Does coronary calcium score indicate significant disease?
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YES
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Start moderate-intensity statin therapy.
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NO
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NO
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Do not start statin. Reassess in 5 years.
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Does family history, CRP, or ABI indicate significant disease?
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YES
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Start moderate-intensity statin therapy.
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NO
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Do not start statin. Reassess in 5 years.
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ACC/AHA 2013 Guidelines
