{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/60b20104ffcfab00117e6199/65f1b129ff17410016bd7ee3?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"High cholesterol - the myth and reality","description":"<p>Cholesterol has become an obsession for so many people over the last 50 years.&nbsp;In this episode I look at the story of cholesterol and why it is important and when to worry about it.</p><p><br></p><p>Links:</p><p><br></p><p>The history of cholesterol:&nbsp;<a href=\"https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiology\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiology</a></p><p><br></p><p>Food and cholesterol:&nbsp;<a href=\"https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol</a></p><p><br></p><p>Monacolin K (in both red yeast rice and statins):&nbsp;<a href=\"https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolins\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolins</a></p><p><br></p><p>Numbers need to treat (NNT):</p><p><a href=\"https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt</a></p><p><br></p><p><br></p><p>Diet and statins:&nbsp;<a href=\"https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-study\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-study</a></p><p><br></p><p><br></p><p>ApoB and Lp(a):&nbsp;<a href=\"https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-a\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-a</a></p><p><br></p><p><br></p><p>Homocysteine and heart disease:&nbsp;<a href=\"https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8\" rel=\"noopener noreferrer\" target=\"_blank\">https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8</a></p><p><br></p><p><br></p><p>Flawed study or is it because not all LDL is bad?&nbsp;<a href=\"https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statins\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statins</a></p><p><br></p><p><br></p><p>Reduction of ApoB and risk reduction of heart disease: <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489462/\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489462/</a></p><p><br></p><p><br></p><p>TG:HDL ratio (Triglycerides to HDL):&nbsp;<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.</a></p><p><br></p><p><br></p><p>NICE recommendation for statins:</p><p><a href=\"https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokes\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokes</a></p>","author_name":"Dr Ayan Panja"}