REBOOT #191 Lipids and Cardiovascular Risk Reduction with Erin Michos MD

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 18 July 2022

⏱️ 75 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow-up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”! Get the original show notes here!

Prior lipid episodes:

#37 Lipids, PCSK9, and ezetimibe: Lower is better.

#10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist.

Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!

Show Segments

Intro
Getting to know Dr. Erin Michos
Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel
Digging into ASCVD Risk Calculator
Who should get 10 year ASCVD Risk assessment and what are the categories?
How Dr. Michos discusses healthy lifestyle and “Primordial Prevention”
What are “Risk Enhancing Factors”?
Who should get biomarker testing vs CAC scoring?
How Dr. Michos discusses statin therapy with her patients
How to address risks of side effects
Primary vs Secondary Prevention
“What should my cholesterol be?”
How often to follow-up labs?
Differences between stain intensity
How to manage side effects
PCSK9 inhibitor discussion
Aspirin, Fibrates and Icosapent Ethyl
High Risk vs Stable ASCVD
Take home points and the future
Outro

Credits

Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MD
Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA
Infographic: Beth “Garbs” Garbitelli MD
Cover Art: Kate Grant MBChB DipGUMed
Hosts: Christopher Chiu MD FACP FAAP; Matthew Watto MD FACP; Paul Williams MD FACP
Editors: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Erin Michos MD MHS

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Transcript

Click on a timestamp to play from that location

0:00.0	Hey Curbsiders, so excited to reboot this classic Curbsiders episode from January 2020,
0:06.5	talking about lipids and cardiovascular risk reduction with an absolutely fantastic expert,
0:12.3	Dr. Aaron Miko's Plus. It's co-hosted by Chris the Chumanchu, so you know you're going to love it.
0:18.4	Please enjoy this high-yield Curbsiders Classic episode.
0:22.6	The Curbsiders podcast is for entertainment education and information purposes only.
0:31.9	As far as discussed, should not be used to lead items to treat your ordinance and disease
0:34.2	or conditions, but more than use the same express on the podcast or solo to those,
0:36.4	should not be interpreted perfectly for official policy or position of agency
0:38.1	to the psychrompossil, cash-like morons, and affiliate outreach programs.
0:40.0	Indeed, there are any in fact there are none.
0:41.4	Pretty much we are going to talk about this throughout, but we do our homework and let's know
0:58.5	when we're done.
0:57.7	Welcome back to the Curbsiders. The intern medicine podcast that uses expert
1:01.3	interviews to bring you clinical pearls and practice changing knowledge.
1:04.0	I'm Chris the Chumanchu, and I'm here with my co-host Dr. Matthew Wato and Dr. Paul Williams.
1:09.1	Producers on this episode are Dr. Jasmine Devgun, Dr. Justin Burke, and Beth Garb's
1:14.0	Carbatelli. This episode will cover the primary and secondary prevention of ACVD,
1:18.4	including common questions on the appropriate management of patients, LDL goals,
1:21.9	and follow-up and when to step up or stop therapy.
1:24.4	We're joined by our guest Dr. Aaron Mekos, who's an associate professor of medicine
1:28.2	in the division of cardiology and department of epidemiology at the Johns Hopkins University.
1:32.7	She also holds the title of director of women's cardiovascular health and the associate director
	...

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