9min chapter

The Curbsiders Internal Medicine Podcast cover image

#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation

The Curbsiders Internal Medicine Podcast

CHAPTER

Reevaluating Cardiovascular Risk Assessment

This chapter critiques the outdated pool cohort equations used for estimating cardiovascular disease risk among Black adults, revealing a 20% overestimation of risk. It introduces the new PREVENT equations based on extensive data, which could significantly alter statin recommendations for millions. The discussion emphasizes the need for improved tools that incorporate social determinants of health and explores the role of coronary artery calcium scoring in personalized risk assessment.

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