Trials on heart failure, hypertension and lipid-lowering drugs, and the evolution of antithrombin and antiplatelet therapy are discussed in part 2 of cardiologists HeartBobH and CMichaelGibson's annual review. theheartorg CardioTwitter
Lp was 2.75 times higher than normal
. I was a skeptic about calcium scores, but I would not have known that had I not had that test done. Now I'm searching for ways to get my Lp down. I think now that we fought the LDL battle, the next battle is going to be on some of these other markers, like Lp.There's a large amount of data about Lp in some ways being the silent risk factor because people aren't measuring it routinely. We don't have a great way to treat it right now, but there are.
The other thing that got my attention this past year is that we all are using the pooled risk equations, right? We have it built into our electronic health records. Your sons are a great example. Do they have to wait until they're 60 and their score goes up? Well, that's just been 30 more years of plaque deposition. Why not think about the accumulated lifetime risk? That's what people, I think, are starting to talk about.
About 20% of people are walking around with it. They don't know it. And they have a risk factor that's not modifiable by diet. We keep telling people to change their diet. Well, Lp is not modifiable by that and it's not modifiable by statins or exercise. I think we're going to learn more about some of these other determinants. I do think getting this treated earlier is better.
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