1. Semiannual monitoring is recommended for patients with any of the following:

• Documented Cardiovascular Disease
• Diabetes Mellitus
• Hypertension

2. Annual monitoring is recommended for patients who do not have any of the above, but are Smokers and/or have Dyslipidemia and/or have Other Risk Factors.

The rationale for this is that, patients with established cardiovascular disease and diabetes mellitus are considered to be at highest risk for adverse cardiovascular events.
Regarding patients with hypertension: blood pressure is harder to normalize than blood lipids and is more likely to escape control in the short term. Therefore, these patients should also be monitored semiannually.
This leaves us with patients who have dyslipidemia and/or smokers and/or others* (who do not have a cardiovascular disease or diabetes or hypertension) for which annual monitoring seems appropriate.

Smokers should receive motivational intervention on every visit - See Clinical information- Smoking Cessation.*

• Family History of Premature Cardiovascular Disease
• Obesity
• Abdominal Obesity
• Any of the other conditional or predisposing cardiovascular risk factors that in your opinion are sufficiently important to warrant systematic monitoring. (See: Cardiovascular risk Factors- A list).