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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IntroGetting to know Dr. Erin MichosPicks 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 CalculatorWho 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 patientsHow to address risks of side effectsPrimary vs Secondary Prevention“What should my cholesterol be?”How often to follow-up labs?Differences between stain intensityHow to manage side effectsPCSK9 inhibitor discussionAspirin, Fibrates and Icosapent EthylHigh Risk vs Stable ASCVDTake home points and the futureOutro
Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MDWriters: Jasneet Devgun DO; Justin Berk MD MPH MBAInfographic: Beth “Garbs” Garbitelli MDCover Art: Kate Grant MBChB DipGUMedHosts: 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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