The Genius Life

310: Have We Been Wrong About Cholesterol, Statins, and Heart Disease? | Aseem Malhotra, MD

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Jul 19, 2023
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INSIGHT

Cholesterol and Heart Disease

  • The cholesterol-heart disease link is complex and not always linear.
  • Lowering total cholesterol doesn't always reduce heart attack risk, especially for those without familial hypercholesterolemia.
ANECDOTE

Familial Hypercholesterolemia

  • Dr. Malhotra had three patients with familial hypercholesterolemia who were fit and healthy.
  • Despite the diagnosis, their coronary arteries were pristine, showing FH doesn't guarantee heart disease.
ADVICE

Lifestyle vs. Medication

  • Prioritize lifestyle changes over medication for heart health.
  • If medication is necessary, ensure patients understand the benefits and side effects to make informed decisions.
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