What

1
The 2009 New Zealand Cardiovascular Guidelines
Handbook
Whats new?
2

• NZGG has updated the Cardiovascular Guidelines
  Handbook.
• There are several changes that may affect
  day-to-day practice.

3
Cardiovascular Risk charts
Charts are now easier to use

• Ages bands on the risk charts now state an age
  range (i.e. 5564 years), instead of choosing the
  age closest to the patient (i.e. 60 years)
• Only systolic blood pressure is required for the
  calculation of risk

4
Non-fasting bloods may be collected
Do non-fasting bloods instead of risking losing a
patient

• Fasting blood tests remains recommended practice
• Non fasting bloods may be used for
• Chol/HDL ratio
• HbA1c

5
Renal disease recognised

• People with CKD begin risk assessments 10 years
  earlier
• ACR (albumincreatinine ratio) and eGFR can be
  used for assessing renal function

6
Lipids target lowered

• More aggressive treatment may be required
• Optimal targets for lipids for those at higher
  risk changed
• LDL now lt 2.0mmol/L (was lt 2.5 mmol/L)
• Chol/HDL ratio now lt 4.0 (was lt 4.5)
• Cholesterol lt 4.0 mmol/L (no change)

7
New blood pressure target for CKD

• More aggressive treatment of BP may be required
  for people with CKD.
• Target lt 125/75 mmHg for all people with chronic
  kidney disease.

8
Change to frequency of CVD risk assessment

• Update recalls for people with a CVD risk of
  1015
• For people with a CVD risk of between 1015,
  recheck every 2 years (was every 5 years).

9
New Zealand Cardiovascular Guidelines Handbook
2009 Edition. Available from www.nzgg.org.nz
(downloadable online version plus order form for
hard copy).