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The GP Show


Welcome to The Gp Show podcast "libsyn directory" page!  Please visit my full website; www.thegpshow.com that includes podcasts, the podcast notes with resources, a clinicians bookshelf split into the lifestyle and medical domains with a growing library of online resources (for patients and health professionals) including handouts, courses, apps, books, podcasts and more.

Join me, Dr Sam Manger MD, for real and in-depth conversations with guests, experts and advocates from around the world sharing knowledge, stories, insight and experience on a variety of health-related topics.  This podcast is specifically designed-with-love for health professionals and anybody else interested in health, science and medicine.

Please note: the Information on this site and in these podcasts is designed for informational purposes only and does not replace the relationship between a patient and his/her own physician and is not intended as medical advice. This information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you saw or read on The GP Show Podcast and related pages. Always practice within your level of professional capabilities and scope of practice. This podcast does not give you the right to practice beyond your training.

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Enjoy and thank you for listening. 

Dec 10, 2017

Today I am joined by A/Professor David Colquhoun, Cardiologist, Lipidologist, President of the QLD Heart Foundation, Co-President of the Clinical and Preventative Council of the Cardiac Society of Australia and New Zealand, and Senior Lecturer at the University of Queensland School of Medicine.  He has dedicated his life to reducing cardiovascular disease, and pleasingly with a strong focus on improving lifestyle factors.

Part 1 - Cholesterol and CVD risk,
Lipid "hypothesis" - is it still a hypothesis?
Cholesterol physiology,
Measuring sub-fractions and receptor ratios - is there a point?
Reducing cholesterol LDL and CVD risk with medication statins, ezetemide and lifestyle,
Measuring fasting vs non fasting cholesterol,
Cholesterol relevance in age - is it a risk or protective factor?
Do statins reduce risk regardless of cholesterol?

Part 2 - CVD risk assessment and treatment,

Risk assessment and importance of using overall risk instead of single factors,
Calcium score scan use,
Risk calculation in those >75 years,
Risk assessment and treatment options including mediterranean diet, exercise, mental health, social isolation, even owning dogs versus cats!
Fibrates and triglycerides,

Statins and side effects = what's the evidence?

 

Further reading:

https://www.heartfoundation.org.au/images/uploads/publications/Absolute-CVD-Risk-Full-Guidelines.pdf 

CVD risk, low LDL and artherosclerosis regression https://www.mja.com.au/system/files/issues/ham00039.pdf

Fasting vs non-fasting cholesterol testing - https://www.rcpa.edu.au/getattachment/0961c6d1-ec80-4500-8dc0-de516500e05b/Lipid-and-lipoprotein-testing.aspx

Mediterranean Diet and CVD - https://www.ncbi.nlm.nih.gov/pubmed/26528631

https://academic.oup.com/eurheartj/article/37/39/2999/2414995

http://www.bmj.com/content/337/bmj.a1344

Calcium Score Scans - http://www.csanz.edu.au/wp-content/uploads/2016/11/CAC_Position-Statement_Exec-Summary_ratified-4-August-2016.pdf

Evidence and resources for part 2 will be placed in part 2 show notes

 

Cheers all