In this week's episode I dive deep into the 2018 ACC/AHA guidelines for cholesterol management. Many people will tell you that their doctor automatically prescribes them a medication if they have high cholesterol, but in this video I will explain what actually should be happening if you have high cholesterol.

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CHAPTERS:

00:00 - Introduction

00:58 - Disclosures

01:40 - Methods

02:27 - Strength of Evidence

03:34 - Lipid Numbers and overview

05:46 - Biomarkers (LDL, Non-HDL, apoB, Lp(a))

08:43 - Monitoring Response to Therapy

09:36 - Lifestyle Factors

10:40 - Metabolic Syndrome

11:20 - LDL Lowering Medications

12:51 - Patient Management Groups

13:06 - Secondary ASCVD Prevention

17:31 - Patients with Severe Hypercholesterolemia

18:53 - Patients with diabetes

20:23 - Primary Prevention

23:22 - Pooled Cohort Equation

25:02 - Risk Calculator Percentages/Groups

26:09 - Coronary Artery Calcium (CAC) Tests

27:56 - Primary Prevention Ages 40-75

28:30 - Monitoring Response to Treatment

29:07 - Primary Prevention Age 75+

29:40 - Primary Prevention age 20-39

30:12 - Primary Prevention in Children

31:48 - Ethnicity Considerations

32:59 - Hypertriglyceridemia

35:01 - Women Specific Issues

35:56 - Adults with CKD

36:25 - Adults with Chronic Inflammatory Conditions

37:24 - Statin Safety and Side Effects

40:16 - Guideline Implementation

41:16 - Takeaways

References:

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000625

*Disclaimer*

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.