post mi, I am part of the team that gets consulted on lipid management as well as a nutrition consult is generated. If LDLc is not within guidelines of AHA or NLA ( at least less than 70 mg/dl) I add PCSK9i for LDLc normalization as well as plaque regression post MI leaving the maximally tolerated statin plus/minus ezetimibe on board .
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Effects of exercise and dietary interventions on asprosin, leptin, and lipid metabolism in males with abdominal obesity, a randomized controlled trial - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/39548289/
Addressing abdominal obesity requires multifaceted strategies, with physical activity and diet playing a pivotal role. The objective of this study was to assess alterations in body composition, adipokine concentrations, insulin...
In men with abdominal obesity, combining exercise with a high-protein, low-glycemic diet produced greater reductions in body fat, adipokines, insulin resistance, and cholesterol, outperforming exercise alone.
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Nutrition and Lifestyle Interventions in Managing Dyslipidemia and Cardiometabolic Risk - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/40077646/
Dyslipidemia, characterized by abnormal blood lipid levels, is a major public health concern due to its association with atherosclerotic cardiovascular disease (ASCVD) and other cardiometabolic disorders. In this context, appropriate...
Dyslipidemia management relies on evidence-based nutrition patterns like Mediterranean, plant-based, and high-fiber diets, enriched with bioactive compounds. Combined with lifestyle interventions and nutrigenomics, these approaches improve lipid profiles and cardiovascular outcomes.
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Learnings from Implementation Strategies to Improve Lipid Management - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/39775142/
Implementation studies are heterogenous in their strategies and design. At the clinician level, multidisciplinary team-based care (including multidisciplinary lipid clinics), pharmacist- or nurse-led interventions, decision-support algorithms or protocols, and educational...
This review highlights strategies to optimize lipid management, including team-based care, patient adherence interventions, EHR tools, and telehealth, emphasizing multifaceted approaches and long-term implementation research for sustainable cardiovascular risk reduction.
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Post myocardial infarction patients are usually started on high intensity statin Rx. Followup in office will include following lipid panel. Insurance carrier permitting, an injectable lipid lowering medication can be added if LDL is not below 55, but usually insurance only permits addition of injectables if LDL remains above 70 on high intensity...
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