How would you treat this patient?

1-3.
The patient is a 54-year-old man. He has
no complaints.

His
risk factors: AH (-), Blood pressure sometimes rises 140/90 mmHg;
Dyslipidemia (+), Diabetes (-), smoking 10 cig/d 10 years; negative family
history.

Obj: Weight -100kg, Heigh-184cm,
waist circumference -100cm. BMI - 29.5. BP in right arm 139/96mmHg, BP in left
arm 142/95mmHg, P -70 b/min.

Labaratory tests: Total cholesterol (mmol/l) - 5,85, Triglyceride (mmol/l) - 1,34, HDL-Cholesterol
(mmol/l) - 0,90, LDL-Cholesterol (mmol/l) - 4,33, Creatinin (mkmol/l) - 83,
eGFR (CKD-EPI) (mL/min/1.73 m 2 ) - 90.Glucose (mmol/l) - 5,77.

Question

How would you treat this patient?

1-3.
    The patient is  a 54-year-old man. He has
    no complaints.

His
    risk factors: AH (-), Blood pressure sometimes rises >140/90 mmHg;
    Dyslipidemia (+), Diabetes (-), smoking 10 cig/d 10 years; negative family
    history.

Obj: Weight -100kg, Heigh-184cm,
    waist circumference -100cm. BMI - 29.5. BP in right arm 139/96mmHg, BP in left
    arm 142/95mmHg, P -70 b/min.

Labaratory tests: Total cholesterol (mmol/l) - 5,85, Triglyceride (mmol/l) - 1,34, HDL-Cholesterol
    (mmol/l) - 0,90, LDL-Cholesterol (mmol/l) - 4,33, Creatinin (mkmol/l) - 83,
    eGFR (CKD-EPI) (mL/min/1.73 m 2 ) - >90.Glucose  (mmol/l) - 5,77.

Answer

Red yeast rice supplement

Answer

Fenofibratum
200 mg

Answer

Moderate intensity statins (Atorvastatin 10 mg -
20 mg or Rosuvastatin 5-10 mg).

Answer

High intensity statins (Atorvastatin 40 mg - 80
mg or Rosuvastatin 20-40 mg).

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How would you treat this patient? 1-3. The patient is a 54-year-old man. ...

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