Confusion regarding AHA 2018 dyslipidemia guidelines for high LDL
💚 healthpersonal problemSingle report ●●●●●
The reporter questions why the 2018 AHA guidelines recommend statins for anyone with an LDL of 190 regardless of age, and asks if younger patients can undergo atherosclerosis testing instead of immediate medication.
What people do today
- Consulting with a cardiologist
- Requesting a coronary artery calcium (CAC) scan
- Adhering to standard statin prescription guidelines
🔧 Fix this
Ideas a builder, maker or community group could start on:
- A patient-facing decision support tool that visualizes cumulative LDL exposure over time to facilitate discussions with doctors.
- A standardized template for patients to request specific diagnostic tests like CAC scans or carotid ultrasounds from their primary care physicians.
- A peer-reviewed database or app that maps current clinical guidelines to specific patient profiles to help patients understand the rationale behind treatment recommendations.
Real voices
“How come they are put in the same basket ? Some of my questions are Can't person A do some tests to actually assess the atherosclerosis (if present) and use that information in treatment planning?”
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