Questioning Medicine

Episode 183: 183. PART 2 DYSH Out Information on DYSlipidemia, an Evidence Based Approach

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Sinopsis

DYSh out information on DYSlipidemia: An Evidence-based Update on Cholesterol ManagementPlease contact me for more information:    Andrew Buelt, D.O.  andrewbuelt@gmail.com Questioning Medicine PodcastAthrosclerotic Cardiovascular Disease Risk Calculator (ASCVD) 10 yr ASCVD risk calculator developed in 2013 ASCVD event defined as nonfatal myocardial infarction, coronary heart disease (CHD) death, fatal or nonfatal stroke Development of ASCVD calculator used African-American and White men and women age 40 to 79 yrs old (not hispanic, watch for inclusion drift)  Risk assessment should occur every 5 yrs in moderate risk individuals and can occur more frequently if the patient is nearing a cutoff for treatment Serum Lipid Level Lipid levels are stable over long durations of time Serum lipid lab values have high intra-test variability Testing more frequently than every 10 years leads to overdiagnosis from lab error and not true changes in serum lipid levels.  Primary PreventionTreatment Statins are the