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CMDManagement™ Newsletters


LipidManagement™ is certified for CME credit.

PLEASE NOTE: LipidManagement™ now offers 1 category 1 credit toward the AMA Physician’s Recognition Award FOR EACH OF THE QUARTERLY ISSUES.

Readers can apply for instant CME credit quarterly beginning with this edition. Simply go to the NLEC website, lipidhealth.org, and click on the “LipidManagement™ Newsletter” navigation bar. Then just click on the link for the current issue’s CME test, answer the questions, and apply for instant credit.

LEARNING OBJECTIVES
After reading the articles in this issue of LipidManagement™, participants should be able to:

Identify patient circumstances in which the coexistence of hypertension and hypercholesterolemia is likely
Summarize the findings thus far in current research that demonstrate a correlation between hypertension and hypercholesterolemia
Explain the effect of lipid-lowering drugs on hypertension and the effect of blood pressure–lowering drugs on hypercholesterolemia

Intended audience:
primary-care physicians, cardiologists, endocrinologists, nephrologists
Release date: March 31, 2003
End date: March 31, 2004

This CME activity is sponsored by Thomson Professional Postgraduate Services®, Secaucus, NJ.
     Thomson Professional Postgraduate Services® is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
     Thomson Professional Postgraduate Services® designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.


 
HIGHLIGHTS from the NLEC’s Annual Update Meeting


In February, the National Lipid Education Council™ held its Annual Update Meeting in Half Moon Bay, California. This year’s gathering, with an agenda entitled “Strategies for CVD Risk Reduction,” was attended by more than 50 of the NLEC steering committee and council members, many of whom are the leading experts in lipids and cholesterol control. Also in attendance as guest speakers were Professor Chris J. Packard, BSc, PhD, DSc, study director of the PROSPER trial, and Gerald M. Reaven, MD, a leading researcher on the subject of insulin resistance.
    After hearing four didactic presentations, attendees examined and discussed case studies during afternoon workshops. These eight case studies were submitted by practicing primary care physicians who were among the 55 answering the NLEC’s “Call for Case Studies” posted on this website. Several of the physicians whose cases were selected also attended the meeting. All of the workshops were lively and the cases thought-provoking, a few of them even coming close to “stumping the experts”!
    An archived webcast is posted on this website. Here are a few highlights from the presentations:

Safety Issues Associated With Cholesterol Lowering: In this era of rapidly changing advanced therapies, there is an increasingly closer watch on their safety profiles. In this talk, the topic of myopathy was covered in relation to statin monotherapy and combination treatment with other existing and emerging therapies. Conclusions: Statin therapy is safe and extremely effective in the vast majority of patients, but should be used with caution and careful monitoring in selected patients.

Presenter: Richard Pasternak, MD, Director, Preventive Cardiology and Cardiac Rehabilitation, Massachusetts General Hospital, Boston


The Obesity–CVD Connection: This presentation explored the clinically proven link between overweight/obesity and an increased risk for cardiovascular disease. The ties between obesity and insulin resistance as well as between the metabolic syndrome/type 2 diabetes and CVD were also discussed. The involvement of lipids in these processes was examined.

Presenter: Gerald M. Reaven, MD, Professor Emeritus (Active) of Medicine, Stanford University School of Medicine, Palo Alto, California


After HRT: What’s a Doctor To Do?: This presentation on hormone replacement therapy and CHD brought the audience up to date on the often confusing and conflicting recent study conclusions on whether HRT is cardioprotective. Recently released data has served to confuse patients and also leave physicians themselves questioning which treatment options to use.

Presenter: Elizabeth Barrett-Connor, MD, Chief, Division of Epidemiology, University of California School of Medicine, LaJolla


The Rationale for Lipid Lowering in the Elderly: The recent PROSPER (Prospective Study of Pravastatin in the Elderly at Risk) trial showed that treating high cholesterol in the elderly population is not only safe, but also worthwhile. This presentation focused on the data showing that the benefits of statin treatment extend from middle to older age, especially when therapy is targeted at those with low HDL-C.

Presenter: Chris J. Packard, BSc, PhD, DSc, Clinical Scientist, Royal Infirmary, Glasgow, Scotland, UK