Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Lipid Guideline Update

Robert Reilly, MD and Neda Frayha, MD
00:00
25:14
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Another year, another lipid guideline! The latest ACC/AHA guidelines on managing lipids have quite a few changes from what we’re used to. So, Neda sat down with Dr. Robert Reilly, general internist and Medical Director of The Villages Health, to break down the new recommendations. 

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Ian L., Dr -

In a paper chase August 2018 Andrew Buelt and Joe Weatherly commented on a paper endorsing a strict non meat non dairy plant based diet as a way to slow and even in some cases reverse coronary artery disease in high risk people who had an CAD event .
The paper was by Esselstyn CB et al in the Journal of Family Practice 2014 356-364 .
This stringent vegan diet followed patients over 3.7 years .
It ought be offered as an adjunct to other measures to reduce worrying lipid profiles and high risk CAD .

ralph m. -

If the CAC score is 0, when does it need ti be repeated in a patient between 40 and 75 years old?

Neda F., MD -

Hi Ralph. Here's Bobby's reply: "Ralph brings up a great question. Here is the response I found in the guidelines:
For those patient found to have a CAC score of Zero,”…it is reasonable to withhold statin therapy unless higher-risk conditions, such as cigarette smoking, family history of premature ASCVD, or diabetes mellitus, are present and to reassess coronary artery calcium score in 5 to 10 years” (American College of Cardiology, 2018)"

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Are We Better in the Morning? Full episode audio for MD edition 188:54 min - 88 MB - M4APrimary Care RAP September 2019 Written Summary 580 KB - PDF