518: Cardiology Meets Longevity

The Curbsiders Internal Medicine Podcast

Education, Health & Fitness, Higher Education, Medicine, Science

4.8 • 3.3K Ratings

🗓️ 23 March 2026

⏱️ 91 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Metabolic Health, Advanced Lipidology, and Preventing ASCVD

Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re joined by Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health.

Claim CME for this episode at curbsiders.vcuhealth.org!

Intro
Primary Prevention & Metabolic Syndrome (Case 1)
Beyond the Standard Lipid Panel
When to Order ApoB
How Lp(a) Changes Management (Case 2)
Using CAC/CCTA in the Gray Zone
Recognizing Early Cardiometabolic Risk
CGMs, Wearables, and Signal vs Noise (Case 3)
How to Talk to Patients About Risk
Take-Home Points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Greg Katz MD

Disclosures

Dr. Katz reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com
0:05.6	slash curbsiders.
0:06.8	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,
0:12.0	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:18.4	Hey, Paul.
0:20.7	Hey, Matt.
0:22.3	I just got an award for being the most secretive person in the office.
0:31.7	All right.
0:32.3	I don't think I'm going to get there.
0:33.2	I can't tell you how much it means to me.
0:36.1	Is this from the 2026 calendar, or are we still scrape at the bottom of the barrel from 2025? You know it, Paul. 26. Nice, happy New Year. Actually, today. It's today's, you know, the day we're recording this. The curbsiders podcast is for entertainment, education, and information purposes only. And the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely those of the host and should not be interpreted to reflect official policy or position of any entity. Aside from possibly, cash like more honest, and affiliate outreach programs. If indeed, there are any. In fact, there are none. Pretty much we aren't responsible if you screw up. You should always do your own homework and let us know. Welcome back to the curbsiders.
1:16.8	I'm Dr. Matthew Francoato here with my great friend in America's primary care physician, Dr. Paul Nelson Williams.
1:23.6	Hi, Paul.
1:24.5	Hey, Matt.
1:25.7	Paul, today we talk to Dr. Greg Katz, a cardiologist, about cardiology, the meaning of life,
1:33.2	the meaning of lipid panels and calcium scores, all sorts of fun stuff.
1:38.4	But, Paul, before we tell people more about our guests and introduce our co-host,
1:43.4	what is it that we do on curbsiders?
1:45.4	And why are we still doing this, Paul? Ten years in. We're doing it because the people need us,
1:50.5	Matt. And what are we doing? I'll tell you. We are the internal medicine podcast. We use
1:56.4	expert interviews to bring in clinical pearls and practice changing knowledge. As you mentioned,
2:00.2	we are joined by a third co-host, frequent producer, Wunderkind, I believe I've called him before, and I stand by it. The great Dr. Paul Wurts. Dr. Wirtz, how are you? I'm doing fantastic. I'm just happy to talk about one of my favorite topics tonight. So it'll be a great show. Before we get into that, why don't you tell us a little bit
	...

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