EPISODE · May 14, 2026 · 37 MIN
BLA 179: How to Actually Use the New Lipid Guidelines (Part 3)
from Building Lifelong Athletes · host Jordan Rennicke, MD
In this episode, I'm breaking down sections 4.2.3 through 4.2.10 of the dense ACC/AHA dyslipidemia guidelines so you don't have to. We'll cut through the noise on the new PREVENT equations, risk enhancers, imaging, and algorithms for primary and secondary prevention. Let's get you equipped to handle these complex lipid management decisions in the clinic.Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.➡️ Download Here: https://www.jrennickemd.com/necessaryninepdfCHAPTERS:00:00 - Intro00:25 - Individualized Risk-Benefit Discussions02:24 - The New PREVENT ASCVD Equations Explained04:29 - Understanding New Risk Thresholds05:32 - The Math Behind the 3% Treatment Threshold09:28 - Risk Enhancers and Personalizing Risk11:21 - Reproductive Age Risk Markers12:15 - Polygenic Risk Scores13:12 - Selective Imaging: CAC and Coronary CT15:16 - Treating Incidental Plaque15:58 - The Core Primary Prevention Algorithm19:26 - Severe Hypercholesterolemia (LDL > 190)21:58 - Diabetes and Lipid Management23:15 - Residual Risk and Omega-3s23:37 - Secondary Prevention Targets26:46 - Special Populations: Children and Young Adults28:04 - Older Adults and Deprescribing28:54 - Pregnancy and Lactation29:55 - HIV, CKD, and Inflammatory Diseases31:14 - Heart Failure and Cancer Survivors32:05 - Managing Hypertriglyceridemia 34:18 - Lipoprotein(a) as a Risk EnhancerSELECTED REFERENCES:https://www.ahajournals.org/doi/10.1161/CIR.0000000000001423*Disclaimer*This podcast is for entertainment, education, and informational purposes only.The topics discussed should not solely be used to diagnose, treat , or prevent any condition.The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.
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BLA 179: How to Actually Use the New Lipid Guidelines (Part 3)
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