Guideline comparison
ESC, applied to her
For patients at high cardiovascular risk the ESC recommends an LDL target below 100 mg/dl and a blood pressure target of 120 to 129 mmHg systolic where tolerated.
ESC Guidelines on cardiovascular disease prevention, Eur Heart J 2021; ESC hypertension guideline 2024AppliesStart a statin, low dose, different moleculeLDL 162 with a premature family history; atorvastatin 20 mg, CK and ALT after six weeks, given the myalgia on simvastatin
AppliesRamipril to 10 mgHome mean 136/86, above target; one step up before adding a second drug
CaveatLipoprotein(a), onceNever measured; changes the risk estimate with the family history
Ruled outMetforminHbA1c 5.9 %: prediabetes, lifestyle first, control in three months
The society's sentence is quoted, not paraphrased. What follows is this chart checked against it, value by value.