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The 2009 New Zealand Cardiovascular Guidelines Handbook

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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The 2009 New Zealand Cardiovascular Guidelines Handbook

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  1. The 2009 New Zealand Cardiovascular Guidelines Handbook What’s new?

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

  3. 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

  4. 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

  5. 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

  6. 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)

  7. 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.

  8. 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).

  9. New Zealand Cardiovascular Guidelines Handbook 2009 Edition. Available from: www.nzgg.org.nz (downloadable online version plus order form for hard copy).

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