Who to Refer?

Hypertension

·       New diagnosis of hypertension

·       Suspected secondary hypertension

·       Resistant hypertension (≥3 medications)

·       Difficult medication tolerance or side effects

·       Routine screening for Primary Aldosteronism (systematic, guideline-based approach)

Obesity

·       BMI greater 30 or greater than 27 with comorbidities

·       Difficulty initiating or optimizing GLP-1 therapy

·       Weight plateau or regain

Lipid Disorders & Cardiovascular Risk

·       Elevated Lipoprotein(a) or strong family history

·       Suspected or confirmed familial hypercholesterolemia (FH)

·       Statin intolerance or complex lipid management

·       Premature ASCVD or high-risk primary prevention

Diabetes

·       New diagnosis of diabetes

·       Complicated control or difficulty in reaching target A1c

·       Type 2 Diabetes +/- additional cardiovascular risk factors

·       Optimization of GLP-1 and SGLT2 therapies

Cardiology Consultation

·       Chest pain assessment

·       Palpitations & arrhythmia assessment

·       Initial assessment and coordination of cardiac investigations (e.g. Holter, Stress Testing, Echo, Cardiac CT)

Liver Disease

·       New diagnosis of hepatic steatosis

·       Lifestyle and medical management of MASLD