#116 The Lipid Panel Reimagined: Mind the Gap Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 15 December 2022

⏱️ 21 minutes

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Summary

Is it enough to look at LDL-C? What is Apo-B? How do you use TG/HDL ratio to understand your patients cardiovascular risk? Do you need to get a fasting lipid panel? How does it affect the triglycerides and LDL?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/12/15/reimagining-the-…-the-gap-segment/ (https://www.coreimpodcast.com/2022/12/15/reimagining-the-lipid-panel-mind-the-gap-segment/)Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E8 (https://go.amboss.com/CoreIM-E8)Time stamps* 01:24 Intro * 03:37 Fasting vs. Nonfasting Lipid Panel* 05:11 Current guidelines* 07:43 Pathophysiology Overview* 09:04 Pathophysiology of Apo-B vs. LDL-C with traffic analogy* 11:23 Apo-B* 15:40 TG-to-HDL ratio* 17:06 Takeaways* Tags: IM Core, CoreIM, risk, USPSTF, ACC/AHH, family medicine, cardiology, primary care Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone before we get into today's episode we are thrilled to have
0:05.8	Ambas as our sponsor for the episode. Hi guys my name is Virginia Vélès
0:11.1	Quignonnes I am a University of Miami, JFK, Internal Medicine,
0:16.7	Residence, and I'm going to talk a little bit about why I like I emboss, because literally
0:21.6	since the beginning of residency I use it all the time even with like
0:26.0	stroke CBA it tells you like allow permissive hypertension for the first 24 hours if it's
0:31.6	a schematic you know CT brain to make sure it's not hemorrhagic
0:35.8	before you do anything giving anti-co-regulation, things like that.
0:39.4	Yeah, do you find that like you still go on up to date to like double check or like you don't use up to date at all?
0:46.3	I use it, but when I want the like the latest, latest research research I'll go to up to date and like confirm it
0:56.4	but to be honest 90% 99% of the time Ambos has the latest information,
1:03.6	and it's quick, and I have so many patients coming in all the time
1:07.7	and I sometimes don't have time to sit down
1:10.4	during work hours and like read the whole thing.
1:13.2	And Coriam listeners can get a one month free trial using the code Coriam-Ambos.
1:18.8	We'll link all that in the show notes for you.
1:20.6	And with that, cue the intro.
1:24.0	I had a patient come to see me recently for a second opinion
1:27.6	because he'd had at least three acute coronary syndromes
1:31.5	and had progressive cardiovascular disease. I think he had about 15 stents.
1:35.6	And he brought this stack of blood work with him from the last decade of his life and his
1:40.7	LDL cholesterol on a high potency statin ranged from 42 to 49
	...

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