The Curbsiders Internal Medicine Podcast

#361 Advanced Lipidology

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Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD

Show description: 
Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon.

Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org!

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Show Segments

  • Intro, Getting to know Dr. Erin Michos, Pick of the Week
  • Patient Case, Digging into ASCVD Risk 
  • Coronary artery calcium scoring - why it’s important
  • What are “Risk Enhancing Factors”?
  • Biomarker testing, what is the significance of Lip a and how can we use it to drive management?
  • Introduction to PCSK9 inhibitors
  • More than just statins - other LDL-lowering medications
  • siRNAs, ASOs - Pelacarsen and more
  • Apollo Trial regarding Pelacarsen
  • Importance of Family History
  • What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more
  • Bempedoic Acid discussion
  • Medication side effects
  • Homozygous FH - approach to treatment, ANGPTL3 inhibitors
  • Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial
  • Wrap-up and Take home points, Outtro
    • Credits

    • Producer and written by: Christopher Chiu MD, FACP, FAAP
    • Show Notes: James Antaki MD
    • Infographic: Edison Jyang
    • Cover Art: Kate Grant MBChB, DipGUMed
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Associate Editor: Leah Witt MD
    • Showrunner: Matthew Watto MD, FACP
    • Technical Production: PodPaste
    • Guest: Erin Michos MD, MHS

      • Sponsor: Birch Living

      Birch is giving $400 off all mattresses and 2 free eco-rest pillows at BirchLiving.com/curb. 

      Full transcript HERE
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