6. Established CVD Recommendations

• For all patients with established CVD, an intensive approach to risk factor modification is recommended including lifestyle intervention and the use of pharmacological therapy for secondary prevention based on NICE, SIGN and ESC Guidance.
• Statins should be prescribed with a ‘lower is better’ approach to achieve levels of at least <2.5 mmol/L for non-HDL-c (equivalent to <1.8 mmol/L for LDL-cholesterol).