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Potpourri 2018
A 47-year-old, non-smoking man with a history of type 2 diabetes mellitus, elevated lipoprotein(a) [Lp(a)] level, and a family history significant for dyslipidemia and premature coronary artery disease (CAD) presents to clinic for routine medical appointment. His lipid profile reveals total... more
Several genetic lipid disorders manifest with physical examination findings in the palms, making it important for lipid specialists to examine the palms of each patient. A, B: A 23-year-old Honduran woman, a recent immigrant to the United States, was found on her first presentation to our... more
Those born with familial hypercholesterolemia (FH) know better than anyone else that they have a family history of early heart disease. Many know they have a cholesterol level that is very high to “off the charts.” But far too many of the 30 million people living with FH suffer the impact of... more
Introduction Coronary artery calcium scoring (CACS) was first introduced in the early 1990s as a method for early coronary artery disease (CAD) detection. Since then, there have been significant advancements in CACS from a technological standpoint, but more importantly, continuing compilation of... more
In 2009, a 75-year-old Tsimane man and his wife awoke and went out into the rain forest around their home in the Amazonian lowlands of Bolivia to collect jajata, a palm like plant used to make roofing. Walking home in the afternoon, he collapsed to the ground, unconscious. His wife shook him and... more
A 73-year-old woman with coronary and peripheral arterial disease with hyperlipidemia was referred for a lipidology consult because of elevated liver function tests (LFTs) while on rosuvastatin. Aspartate amino transferase (AST) rose from a baseline of 26 to 120 and alanine amino transferase (ALT)... more