Statin for secondary prevention if |
A patient has established atherosclerotic CVD (prior history of coronary, cerebrovascular, or peripheral arterial disease) |
Statin for primary prevention if |
Option A*: |
- All patients with GFR <60 mL/min
|
- Patients with CKD and GFR ≥60 mL/min and age ≥50 years
|
or |
- Patients with CKD and GFR ≥60mL/min and other CVD risk factors (eg, diabetes, hypertension, smoking, low HDL-C, high Lp(a), etc)
|
Option B*: |
- Statin if predicted 10-year absolute risk of having a major CVD event is 7.5 to 10% or higher
|
- Statin might be offered if risk is between 5 and 7.5%
|
- No statin if risk is below 5%
|