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Approach to Prevention in Cardiovascular Disease
Feb 17, 2025
Dr. Greg Katz, a cardiologist and assistant professor at NYU Langone Health, delves into strategies for preventing cardiovascular disease. He emphasizes a personalized approach using patient case studies to highlight the balance between lifestyle changes and medical treatments. Advanced lipid testing, including Apolipoprotein B and lipoprotein(a), is discussed alongside the evolving role of medications like statins and GLP-1 agonists. Katz also covers the intricate decision-making around aspirin use and the critical role of cardiac imaging in assessing risks.
27:49
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Quick takeaways
- A comprehensive strategy for preventing cardiovascular disease emphasizes the importance of addressing both modifiable and non-modifiable risk factors for personalized treatment.
- Advanced imaging and lipid testing are essential tools in refining cardiovascular risk assessments, enabling tailored interventions alongside lifestyle modifications.
Deep dives
Understanding Patient Risk Factors
The importance of recognizing individual risk factors for cardiovascular disease is emphasized through the example of a patient with multiple risk factors including hypertension, hyperlipidemia, and a family history of premature heart disease. These elements contribute significantly to the overall risk of cardiovascular events. The clinician's approach should involve evaluating both modifiable factors, such as lifestyle choices, and non-modifiable factors, such as genetics, to formulate a comprehensive preventive strategy. This personalized assessment is crucial in guiding decisions about early interventions, including medications and lifestyle modifications.
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