Dyslipidemia in children with CKD: should we treat with statins?

Which of the risk factors for the development of CVD listed below are possible to treat in children with CKD?

a. Disturbed calcium phosphate metabolism
b. Dyslipidemia
c. Hypertension
d. Obesity
e. All of the above

Treatment with a statin has convincingly been shown to improve mortality from CVDs in adult patients

a. In CKD stage 2
b. On haemodialysis
c. On peritoneal dialysis
d. After a kidney transplant
e. All of the above

The American Academy of Pediatrics recently recommended:

a. Lipid screening in all children
b. Lipid screening in all children with one or more of defined risk factors for CVD
c. Treatment with a statin to be considered in all children older than 8 years with a confirmed LDL cholesterol level >4.9 mmol/L
d. Treatment with a statin to be considered in all children older than 8 years who have one of defined risk factors and a confirmed LDL cholesterol level >4.1 mmol/L
e. b, c and d.

Which of the below statements is not true regarding a child with CKD?

a. Has an increased risk to develop CVD
b. Should always have good blood pressure control
c. In many cases show increased levels of total and LDL cholesterol
d. Should have calcium phosphate balance carefully managed
e. Should routinely be treated with a statin if LDL cholesterol levels are increased

Treatment data from adult patients with CKD are difficult to extrapolate to children, as:

a. The diagnosis causing CKD in adults and children are very different
b. The child is growing and developing
c. There is a lack of long-term safety data in children
d. CVD normally becomes clinically overt when the child has grown up and been transferred to adult care
e. All of the above

M	T	W	T	F	S	S
	1	2	3	4	5	6
7	8	9	10	11	12	13
14	15	16	17	18	19	20
21	22	23	24	25	26	27
28	29	30	31	EC

Dyslipidemia in children with CKD: should we treat with statins?

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