Priya Alexander
๐ค SpeakerAppearances Over Time
Podcast Appearances
But what we know, Norman, is that in people who have evidence of heart disease, who've had a stroke or a transient ischemic attack or a heart attack or an angiogram.
Yes.
We have these targets when it comes to cholesterol.
We say, let's really aggressively manage their low density lipoprotein, their LDL, and let's push it below a certain number.
Now, this study has been done in South Korea and it said, you know, there are all these recommendations in terms of what people with heart disease should have their LDL cholesterol at, but they've said that there's a lack of randomised controlled trials to actually say why the numbers have been chosen.
So in South Korea, they've got people with heart disease and they've randomised them.
And some of them are being really aggressively managed to an LDL level of less than 1.4 millimoles per litre.
People will know these numbers, perhaps 1.4.
The other group are conventional.
They're not as low.
They're going to less than 1.8 millimoles per litre.
Well, I'll disagree with you there because actually there was an update last year.
Yes.
The GP knows that there was an update last year in Australia.
The Heart Foundation, the Cardiac Society of Australia in New Zealand actually said any patients with acute coronary syndrome should aim for the LDL less than 1.4.
Yes.
Yes.
But there were some updates in recommendations and guidelines in Australia and there's that number of 1.4 there.
Yes.
What they've done, they've randomized these people.