Managing Hyperlipidemia: Primary Prevention of CAD | Harvard Medical School Continuing Education
How have risk-based treatment recommendations for managing blood cholesterol changed in the latest guideline updates? Do you know how select the correct treatment based on new risk categories? What risk-enhancing factors affect categorization?
Dr. Romit Bhattacharya, MD, a cardiologist at Massachusetts General Hospital, explains the most recent updates to the 2018 ACC/AHA Guideline on the Management of Blood Cholesterol and how they affect risk stratification for managing blood cholesterol. Primary risk groups are the focus of this talk in which new risk categories are reviewed and risk-enhancing factors are identified. The use of the risk estimators and CAC scoring is discussed.
00:00 | Introduction
00:32 | ACC/AHA guideline updates since 2018
02:27 | Primary prevention risk groups
05:53 | Using the Risk Estimator Plus to refine risk categories
06:53 | CT coronary calcium scoring (CAC)
07:54 | Summary
References:
Adhyaru BB, Jacobson TA. Safety and efficacy of statin therapy. Nat Rev Cardiol. 2018;15(12):757-769.
Alphaddagh, A, et al. The ABCs of primary cardiovascular prevention: 2019 update. JACC. 2019 Mar 21. https://www.acc.org/latest-in-cardiology/articles/2019/03/21/14/39/abcs-of-primary-cv-prevention-2019-update-gl-prevention
ASCVD Risk Estimator Plus. https://tools.acc.org/ascvd-risk-estimator-plus/#!/calculate/estimate/. Published 2017. Accessed April 22, 2022.
Blaha M, et al. Role of coronary artery calcium score of zero and other negative risk markers for cardiovascular disease: The multi-ethnic study of atherosclerosis (MESA). Circulation. 2016;133:849–858.
Detrano R, et al. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med 2008; 358:1336-1345. doi:10.1056/NEJMoa072100
Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;139(25):e1082-e1143. doi:10.1161/CIR.0000000000000625
Sturm AC, Knowles JW, Gidding SS, et al. Clinical Genetic Testing for Familial Hypercholesterolemia: JACC Scientific Expert Panel. J Am Coll Cardiol. 2018;72(6):662-680.
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Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information.