BLA 179: How to Actually Use the New Lipid Guidelines (Part 3)

In this episode, I'm breaking down sections 4.2.3 through 4.2.10 of the dense ACC/AHA dyslipidemia guidelines so you don't have to. We'll cut through the noise on the new PREVENT equations, risk enhancers, imaging, and algorithms for primary and secondary prevention. Let's get you equipped to handle these complex lipid management decisions in the clinic.

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CHAPTERS:
00:00 - Intro
00:25 - Individualized Risk-Benefit Discussions
02:24 - The New PREVENT ASCVD Equations Explained
04:29 - Understanding New Risk Thresholds
05:32 - The Math Behind the 3% Treatment Threshold
09:28 - Risk Enhancers and Personalizing Risk
11:21 - Reproductive Age Risk Markers
12:15 - Polygenic Risk Scores
13:12 - Selective Imaging: CAC and Coronary CT
15:16 - Treating Incidental Plaque
15:58 - The Core Primary Prevention Algorithm
19:26 - Severe Hypercholesterolemia (LDL > 190)
21:58 - Diabetes and Lipid Management
23:15 - Residual Risk and Omega-3s
23:37 - Secondary Prevention Targets
26:46 - Special Populations: Children and Young Adults
28:04 - Older Adults and Deprescribing
28:54 - Pregnancy and Lactation
29:55 - HIV, CKD, and Inflammatory Diseases
31:14 - Heart Failure and Cancer Survivors
32:05 - Managing Hypertriglyceridemia 
34:18 - Lipoprotein(a) as a Risk Enhancer

SELECTED REFERENCES:
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001423

*Disclaimer*
This podcast is for entertainment, education, and informational purposes only.
The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.