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I'm Dr. Michael Richman, a double board certified cardiothoracic surgeon. Yesterday in the Wall Street Journal, there was an article about a new cholesterol drug that is a game changer. First of all, it is not a single drug. Needless to say, I’ve gotten multiple calls and emails. In today’s video I’m here to explain why you should think twice before getting excited about new lipoprotein(a) lowering drugs. Stay informed; not all that glitters is gold! For further guidance or a lipid consultation,
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The Importance of Fats and Cholesterol in Children's Diets Under 2 Years
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New cholesterol guidelines just dropped. Big changes: • LDL treatment targets are back • Risk assessment starting at age 30 • Lp(a) screening recommended at least once • ApoB highlighted as a key marker • Expanded use of coronary calcium scoring And one thing notably missing: No HDL targets. No cholesterol ratio focus. No recommendation to raise HDL. The theme: identify risk earlier and reduce lifetime exposure to atherogenic lipoproteins. What do you think about these changes? #familymedicine #
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2026 ACC Dyslipidemia Guidelines – Part 2: Coronary Calcium (CAC) Who should consider CAC testing? • Men ≥40 • Women ≥45 Especially if ASCVD risk is uncertain or intermediate How CAC guides LDL goals: CAC = 0 • If no high-risk conditions and patient prefers avoiding therapy • Reasonable to defer lipid therapy • Repeat CAC in 3–7 years CAC 1–99 • Start lipid-lowering therapy favored • LDL goal
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