Working Diagnosis.

Where they agree

  • Statins are first-line; high-intensity preferred over moderate
  • Base treatment on absolute cardiovascular risk, not lipid level alone
  • Fasting lipid panel before and after initiating therapy
  • Annual monitoring once stable at target
  • Familial hypercholesterolaemia warrants specialist referral

Where they diverge

  • LDL-C targets differ substantially between NZ and ESC for equivalent risk tier
  • Treatment threshold: NZ 15% is higher than AU (10-15%) or ESC equivalents
  • PCSK9 inhibitors: not funded (NZ) vs PBS-listed (AU) vs guideline standard (ESC)
  • Ezetimibe: restricted in NZ; freely available under AU and ESC frameworks

Comparison

Domain NZ - BPAC / Heart Foundation NZ AU - Heart Foundation AU / NPS International - ESC/EAS 2019
Treatment threshold
(primary prevention)
5-yr CVD risk ≥15% using PREDICT-CVD. Treat regardless of calculated risk if BP ≥180/110 mmHg or total cholesterol ≥8 mmol/L. 5-yr CVD risk ≥10-15% - a lower threshold than NZ, partly reflecting PBS reimbursement structure. Based on SCORE2 risk category. Initiate for "high" risk (10-yr SCORE2 ≥5-10%) or established atherosclerotic CVD.
LDL-C target
High risk / primary prevention
<2.0 mmol/L or ≥40% reduction from untreated baseline.↑ vs ESC <2.0 mmol/L; non-HDL-C <2.5 mmol/L. Broadly aligned with NZ for primary prevention. High risk: <1.8 mmol/L AND ≥50% reduction from baseline. Moderate risk: <2.6 mmol/L.
LDL-C target
Very high risk / secondary prevention
<1.8 mmol/L preferred for established CVD or very high risk. <1.4 mmol/L for post-ACS or established high-risk atherosclerotic CVD (Heart Foundation AU 2023 update). Very high risk: <1.4 mmol/L AND ≥50% reduction. Extreme risk (recurrent events on max therapy): <1.0 mmol/L.
Non-HDL-C target <2.5 mmol/L (high risk); <2.2 mmol/L (secondary prevention). Useful when LDL is unreliable. <2.5 mmol/L (high risk). Alternative target in hypertriglyceridaemia or when LDL-C is unreliable. High risk: <2.2 mmol/L. Very high risk: <1.7 mmol/L. Extreme risk: <1.4 mmol/L.
First-line statin Atorvastatin 40mg (high-intensity, fully funded). Simvastatin 40mg as moderate-intensity alternative.Funded Atorvastatin 40-80mg or rosuvastatin 20-40mg. Both PBS-listed without restriction for eligible patients. High-intensity statin to maximum tolerated dose. Atorvastatin 40-80mg or rosuvastatin 20-40mg preferred.
Add-on: ezetimibe Funded with restriction: confirmed familial hypercholesterolaemia, or documented intolerance to at least two statins. Not funded simply for failure to reach LDL target.Restricted PBS-listed; add to statin when LDL-C target not met. No special access criteria required. Add ezetimibe if LDL target not met on maximum tolerated statin. Standard second step before considering PCSK9 inhibitors.
PCSK9 inhibitors Evolocumab and alirocumab not funded in NZ. Private cost is substantial. Specialist referral is the appropriate pathway for very high-risk patients.Not funded PBS-listed for: FH with LDL ≥5.0 mmol/L on max statin and ezetimibe; or secondary prevention with LDL ≥2.6 mmol/L on maximum tolerated therapy. Recommended for very high and extreme risk not at target on statin and ezetimibe. Part of standard treatment algorithm, not a last resort.
Risk calculator PREDICT-CVD. NZ-specific - incorporates ethnicity, NZDep deprivation index, and clinical history. Not cross-comparable with other calculators.1 Australian CVD risk calculator (NVDPA framework). Separate tool; not interchangeable with PREDICT-CVD. SCORE2 (age 40-69 years); SCORE2-OP for age 70 or older. Not validated in NZ or Australian populations.
Monitoring Fasting lipid panel 6-8 weeks after initiation or dose change. Annually once stable. Baseline LFTs only if symptomatic; CK only if myalgia. Fasting lipids 6-12 weeks post-initiation, then 12-monthly. CK only if myalgia symptoms present. 8-12 weeks post-initiation or dose change, then 12-monthly once at target.

NZ clinical context

PHARMAC funding and population-specific considerations

PHARMAC funding status

Verify current criteria at pharmac.govt.nz as they change. As at 2024:

Maori and Pacific peoples

PREDICT-CVD includes ethnicity as an input variable and is calibrated to NZ population data - it is the appropriate tool for NZ practice and should be used in preference to SCORE2 or the Australian calculator. When using other calculators, the Heart Foundation NZ recommends applying ethnicity-based risk multipliers to reflect higher CVD event rates in Maori and Pacific peoples at equivalent calculated risk scores.1

Familial hypercholesterolaemia

Consider FH if untreated LDL-C is ≥5.0 mmol/L, or ≥4.0 mmol/L in the presence of a family history of premature CVD or hypercholesterolaemia. Apply the Dutch Lipid Clinic Network (DLCN) criteria or Simon Broome criteria to estimate probability. Refer to a specialist for confirmation - this is the pathway to funded rosuvastatin and ezetimibe, and to consideration of PCSK9 inhibitors on a private or named patient basis.

Bottom line for NZ practice

What this means in the consulting room

  1. Use PREDICT-CVD for risk calculation. It is calibrated to NZ data and incorporates ethnicity and social deprivation - do not substitute SCORE2 or the Australian calculator for NZ patients.
  2. The NZ treatment threshold (5-yr risk ≥15%) is higher than equivalent AU or ESC thresholds. This is intentional and reflects PHARMAC funding structure. Do not feel compelled to match ESC targets in routine primary prevention.
  3. Working LDL-C targets for NZ primary care: <2.0 mmol/L or ≥40% reduction for high-risk primary prevention; <1.8 mmol/L for secondary prevention or very high risk. Hitting 1.4 mmol/L is aspirational without funded PCSK9 inhibitor access.
  4. If statin alone is not reaching target, check adherence and consider uptitrating to atorvastatin 80mg before adding ezetimibe. PHARMAC funding for ezetimibe requires documented statin intolerance or confirmed FH - failure to reach LDL target alone does not qualify.
  5. For patients with very high residual risk (particularly post-ACS or confirmed FH not at target), refer to a specialist. This is the appropriate pathway to funded rosuvastatin, ezetimibe, and any discussion of PCSK9 inhibitor options.

Sources

  1. Heart Foundation New Zealand. New Zealand primary prevention guideline for cardiovascular disease. Auckland: Heart Foundation NZ; 2018 (updated 2022). Available from: heartfoundation.org.nz
  2. BPAC NZ. Dyslipidaemia management in primary care. 2021. Available from: bpac.org.nz
  3. National Heart Foundation of Australia. Reducing risk in heart disease: Australian clinical guidelines for the management of lipid disorders. Sydney: Heart Foundation AU; 2023.
  4. Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias. Eur Heart J. 2020;41(1):111-188.
  5. PHARMAC. New Zealand Pharmaceutical Schedule. Available from: pharmac.govt.nz [accessed 2024].