A provider s considerations when recommending physical activity might include a patient s motivation, functional capacity, and physical activity preferences. Abbreviations: ACS: acute coronary syndrome; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DM: diabetes mellitus; EF: ejection fraction; ESRD: end-stage renal disease; HF: heart failure; LDL: low-density lipoprotein cholesterol; mg/dL: milligrams per deciliter; MI: myocardial infarction; PCI: percutaneous coronary intervention Sidebar 1: CVD and Equivalents MI or ACS CABG/PCI Stable CAD (angina or equivalent) Atherosclerotic CVA/TIA PAD (claudication or AAA) Does not include asymptomatic incidental finding of potential atherosclerosis (e.g., CAC) Abbreviations: AAA: abdominal aortic aneurysm; ACS: acute coronary syndrome; CABG: coronary artery bypass grafting; CAC: coronary artery calcium; CAD: coronary artery disease; CVA: cerebrovascular accident; CVD: cardiovascular disease; MI: myocardial infarction; PAD: peripheral arterial disease; PCI: percutaneous coronary intervention; TIA: transient ischemic attack Sidebar 2: Higher Risk CVD Patients MI or ACS in past 12 months; or Recurrent ACS, MI, or CVA; or Known CVD (see Sidebar 1) and any of the following: currently smoking, DM, PAD, or CABG/PCI Abbreviations: ACS: acute coronary syndrome; CABG: coronary artery bypass grafting; CVA: cerebrovascular accident; CVD: cardiovascular disease; DM: diabetes mellitus; MI: myocardial infarction; PAD: peripheral arterial disease; PCI: percutaneous coronary intervention Sidebar 3: Drug Doses Generic name Moderate-dose High-dose Simvastatin 20 40 mg N/A Pravastatin 40 80 mg N/A Lovastatin 40 80 mg N/A Fluvastatin 80 mg (XL) or 40 mg BID N/A Pitavastatin 1 4 mg N/A In patients who are intolerant of statins: after washout (e.g., 1 month), re-challenge with same or a different statin or lower dose, and if that fails, a trial of intermittent (nondaily) dosing Intensified patient care (e.g.