Run the List Approach to Prevention in Cardiovascular Disease
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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.
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Early Intervention for CVD Risk
- Acknowledge a patient's risk factors and family history to emphasize the importance of preventative measures.
- Start risk-reducing medications early, especially when multiple risk factors like high blood pressure, LDL, and A1C are present.
Limitations of Risk Calculators
- Risk calculators are useful for population-level assessments but can be misleading for individuals, especially younger patients.
- Focus on treating present risk factors rather than relying solely on calculated risk percentages.
Combined Approach to CVD Prevention
- Address cardiovascular disease from multiple angles, combining lifestyle changes with medical therapy.
- Don't solely rely on lifestyle modifications, especially for LDL, which often requires medication.