REBOOT #191 Lipids and Cardiovascular Risk Reduction with Erin Michos MD

Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow-up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”! Get the original show notes here!

Prior lipid episodes: 

#37 Lipids, PCSK9, and ezetimibe: Lower is better.

#10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist.

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Show Segments

Intro

Getting to know Dr. Erin Michos

Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel

Digging into ASCVD Risk Calculator

Who should get 10 year ASCVD Risk assessment and what are the categories?

How Dr. Michos discusses healthy lifestyle and “Primordial Prevention”

What are “Risk Enhancing Factors”?

Who should get biomarker testing vs CAC scoring?

How Dr. Michos discusses statin therapy with her patients

How to address risks of side effects

Primary vs Secondary Prevention

“What should my cholesterol be?”

How often to follow-up labs?

Differences between stain intensity

How to manage side effects

PCSK9 inhibitor discussion

Aspirin, Fibrates and Icosapent Ethyl

High Risk vs Stable ASCVD

Take home points and the future

Outro

Credits

Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MD

Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA

Infographic: Beth “Garbs” Garbitelli MD

Cover Art: Kate Grant MBChB DipGUMed

Hosts: Christopher Chiu MD FACP FAAP; Matthew Watto MD FACP; Paul Williams MD FACP   

Editors: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)

Guest: Erin Michos MD MHS

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