The 2009 New Zealand  Cardiovascular Guidelines Handbook What’s new?
<ul><li>NZGG has updated the Cardiovascular Guidelines Handbook.  </li></ul><ul><li>There are several changes that may aff...
Cardiovascular Risk charts <ul><li>Ages bands on the risk charts now state an age range (i.e. 55–64 years), instead of cho...
Non-fasting bloods may be collected <ul><li>Fasting blood tests remains recommended practice  </li></ul><ul><li>Non fastin...
Renal disease recognised <ul><li>People with CKD begin risk assessments 10 years earlier </li></ul><ul><li>ACR (albumin:cr...
Lipids target lowered <ul><li>More aggressive treatment may be required </li></ul><ul><li>Optimal targets for lipids for t...
New blood pressure target for CKD  <ul><li>More aggressive treatment of BP may be required for people with CKD. </li></ul>...
Change to frequency of CVD risk assessment <ul><li>Update recalls for people with a CVD risk of  10–15% </li></ul><ul><li>...
New Zealand Cardiovascular Guidelines Handbook 2009 Edition. Available from:  www.nzgg.org.nz  (downloadable online versio...
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  1. 1. The 2009 New Zealand Cardiovascular Guidelines Handbook What’s new?
  2. 2. <ul><li>NZGG has updated the Cardiovascular Guidelines Handbook. </li></ul><ul><li>There are several changes that may affect day-to-day practice. </li></ul>
  3. 3. Cardiovascular Risk charts <ul><li>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) </li></ul><ul><li>Only systolic blood pressure is required for the calculation of risk </li></ul>Charts are now easier to use
  4. 4. Non-fasting bloods may be collected <ul><li>Fasting blood tests remains recommended practice </li></ul><ul><li>Non fasting bloods may be used for: </li></ul><ul><ul><li>Chol/HDL ratio </li></ul></ul><ul><ul><li>HbA1c </li></ul></ul>Do non-fasting bloods instead of risking losing a patient
  5. 5. Renal disease recognised <ul><li>People with CKD begin risk assessments 10 years earlier </li></ul><ul><li>ACR (albumin:creatinine ratio) and eGFR can be used for assessing renal function </li></ul>
  6. 6. Lipids target lowered <ul><li>More aggressive treatment may be required </li></ul><ul><li>Optimal targets for lipids for those at higher risk changed: </li></ul><ul><ul><li>LDL now < 2.0mmol/L (was < 2.5 mmol/L) </li></ul></ul><ul><ul><li>Chol/HDL ratio now < 4.0 (was < 4.5) </li></ul></ul><ul><ul><li>Cholesterol < 4.0 mmol/L (no change) </li></ul></ul>
  7. 7. New blood pressure target for CKD <ul><li>More aggressive treatment of BP may be required for people with CKD. </li></ul><ul><li>Target < 125/75 mmHg for all people with chronic kidney disease. </li></ul>
  8. 8. Change to frequency of CVD risk assessment <ul><li>Update recalls for people with a CVD risk of 10–15% </li></ul><ul><li>For people with a CVD risk of between 10–15%, recheck every 2 years (was every 5 years). </li></ul>
  9. 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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