Case 1: A 55-year old female

Case Study 1: A 55-year old female patient, normal weight

Cardiovascular disease risk factors identified:

  • Hypercholesterolaemia (serum total cholesterol 228mg/dl (5.9mmol/l), elevated, LDL-cholesterol 174mg/dl (4.5mmol/l), elevated)
  • Age - 55 years
  • Smoker
  • Elevated blood pressure, despite medication (145/95mmHg)
  • Father had died of an acute myocardial infarction at the age of 45 years
Treatment approach:

According to the EAS and ESC guidelines for the management of dyslipidaemia, lifestyle changes together with statin treatment should be considered. Patient was reluctant to start medication, so a three step approach was undertaken.

Step 1

Step 2

Step 3