Core IM | Internal Medicine Podcast #116 The Lipid Panel Reimagined: Mind the Gap Segment
20 snips
Dec 15, 2022 AI Snips
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LDL and Heart Disease
- A patient with multiple coronary syndromes and 15 stents had consistently low LDL cholesterol.
- This raises questions about relying solely on LDL cholesterol for cardiovascular risk assessment.
Fasting vs. Non-Fasting Lipids
- Consider a non-fasting lipid panel for patient convenience.
- Adjust triglyceride and LDL values if the patient has eaten.
Lifetime Cardiovascular Risk
- Current guidelines focus on 10-year ASCVD risk, but lifetime risk is more relevant.
- Lowering atherogenic lipoproteins over a longer time horizon significantly reduces cardiovascular risk.